| NPI | 1417564410 |
|---|---|
| Doing Business As | LILY HEALTHCARE SERVICE |
| Entity Type | Organization |
| Authorized Contact | DINEKA THOMAS Owner 901-205-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |