| NPI | 1154756716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEVAULT WATSON Provider/Owner 865-223-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TN 136638) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |