NPI | 1427019413 |
---|---|
Doing Business As | ISLAND HOME PARK HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | LESA FUGATE-DAY General Counsel 865-414-3695 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 144) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 144) |
313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000144) | |
314000000X Skilled Nursing Facility (Licence: TN 0000000144) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2014-10-06 |