| NPI | 1275956112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBERECHI OBI ONYEJIAKA Administrator 615-569-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN 00507) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-02-14 |