| NPI | 1447240882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAE WERHOVEN Administrator 901-276-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 255) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |