| NPI | 1467955542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MORRISON Administrator 423-883-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2023-10-17 |