| NPI | 1275570137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERYL DORAN JOHNSON Manager Of LLC 931-363-3507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 093) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-11-07 |