| NPI | 1588940811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 214) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2020-09-30 |