| NPI | 1316224454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANESHA M COWAN Owner 901-289-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: TN RN147062) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |