| NPI | 1134370877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA UNIQUE LEE Executive Director 423-648-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN l438-038-9166) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |