| NPI | 1104917327 |
|---|---|
| Doing Business As | VILLA MANOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0599) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-09-15 |