| NPI | 1144245135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY G BIDWELL Manager Of LLC 615-893-2602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 356) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-11-23 |