| NPI | 1316179575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. CAWOOD-GRAY Risk Consultant 423-416-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000006) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000006) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2010-10-14 |