NPI | 1578894671 |
---|---|
Doing Business As | MOUNTAINBROOK VILLAGE |
Entity Type | Organization |
Authorized Contact | PEGGY J LILLEY Executive Director 865-428-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN ACL0000000013) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2010-01-29 |