| NPI | 1316242514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNE TAYLOR Nursing Supervisor 731-642-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN LPN75880) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |