NPI | 1477271781 |
---|---|
Doing Business As | SOUTHERN HERITAGE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | KENNETH JAMES STONEBROOK Regional Director 423-290-8537 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2022-08-22 |
Last Update Date | 2022-08-22 |