| NPI | 1104584002 |
|---|---|
| Doing Business As | SUPPORTIVE CARE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | YOLANDA NADINE GRAY Owner 615-424-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |