| NPI | 1356625891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BRADLEY Owner 615-210-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN RN122966) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |