| NPI | 1518462076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L TRENTHAM VP Of Operations 865-293-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA PCH009162) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |