| NPI | 1285775874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI HARRIS Chief Officer 615-231-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TN L 323-096-3521) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |