| NPI | 1588747984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENEE BOYNTON Administrator 423-447-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |