| NPI | 1336309806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY ANNE ROACH Owner 615-686-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN10671) |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-12-10 |