| NPI | 1407684285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOVIS GRAY Executive Director 615-668-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |