| NPI | 1265829626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRIAN HUGHES Owner 731-571-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN APN013215) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |