| NPI | 1538354485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA P. GBASIN CEO 615-479-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 000210950300013) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |