| NPI | 1164830261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS VANCE BLOOM Director Of Rehabilitation 865-524-7366 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000002205) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |