| NPI | 1083752901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL DAVID JIMENEZ Interim CEO 865-545-7558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000333) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-12-02 |