| NPI | 1194130997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-09-15 |