NPI | 1427019413 |
---|---|
Doing Business As | ISLAND HOME PARK HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | KEVIN A WHITLOCK Sr VP Finance 423-310-6147 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 144) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000144) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2025-09-08 |