| NPI | 1427040211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALEX GADDY Administrator 423-743-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 378) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-04-06 |