| NPI | 1326401613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA SIMONE WILLIAMS Owner 901-406-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TN 1000000017998) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |