| NPI | 1578099784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL LICHTSCHEIN Operator 901-332-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 326) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2018-03-07 |