| NPI | 1528200441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BOYNTON Director 615-646-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN I000000004120) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TN I000000004120) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |