| NPI | 1265776835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN GREEN Registered Nurse 931-409-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN RN0000077403) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |