NPI | 1245620475 |
---|---|
Doing Business As | DOVE HEALTHCARE- BLOOMER |
Entity Type | Organization |
Authorized Contact | TOMMY DAVIDSON Chief Manager 423-227-5957 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-01-26 |
Last Update Date | 2016-05-09 |