NPI | 1245445881 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LYNN NICHOLS Lpn 931-455-3649 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN LPN0000043342) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |