| NPI | 1134306012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BIRDWELL Director Of Pharmacy 423-664-1217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 4465) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |