NPI | 1538124045 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN F BRADLEY Secretary 615-595-8383 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000158) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0158) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2021-06-04 |