| NPI | 1366467276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERYL DORAN JOHNSON Manager Of LLC 931-424-1456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 089) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-04-30 |