NPI | 1174577001 |
---|---|
Entity Type | Organization |
Authorized Contact | C. SCOTT BIDWELL Manager Of LLC 931-424-1456 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 180) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2025-05-19 |