| NPI | 1336148816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS ALCORN Office Manager 865-573-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN MD0000031607) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TN MD0000031607) |
| 315D00000X Hospice, Inpatient (Licence: TN MD0000031607) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-01-09 |