| NPI | 1588382469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CRAFT Owner/Operator 901-281-2158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |