| NPI | 1295920890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CAWOOD Risk Manager 423-773-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000388) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000388) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2008-06-12 |