| NPI | 1194244772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CAWOOD GRAY Manager, Risk Management 423-557-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-06-22 |