| NPI | 1558649566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L BOLTON RN 931-684-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN RN0000183560) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |