| NPI | 1366606915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI LYNNE COBURN Nursing Supervisor 931-484-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN APN0000013373) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |