| NPI | 1386699148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHELLY Manager Of LLC 615-460-1321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 227) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-10-30 |