| NPI | 1235309634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M ISAACS Administrator 423-727-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN 0000000097) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |