| NPI | 1467447540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLASS B. SMITH President And Director 615-647-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3079) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-03-04 |