NPI | 1295726743 |
---|---|
Entity Type | Organization |
Authorized Contact | JAN FORD Administrator 423-257-6122 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN acl0000000004) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000293) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2020-08-22 |