| NPI | 1497028757 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF OLD HICKORY VILLAGE |
| Entity Type | Organization |
| Authorized Contact | CINDY S. CROSS Officer 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2021-09-15 |