| NPI | 1215488606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHITA MESHKANI-MEHDIAN Family Nurse Practitioner 731-695-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN APN0000021900) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |