| NPI | 1366433385 |
|---|---|
| Doing Business As | JACARANDA MANOR |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BURDETTE Director Of Finance 423-308-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1252096) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |