| NPI | 1487693842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. JAY NASON Manager Of LLC 865-523-2473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 112) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-09-19 |