| NPI | 1427142074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAKINS Manager 615-330-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALC 2117) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |