| NPI | 1124227707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA VAUGHN Business Office Manager 931-461-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000033) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |