| NPI | 1598912537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY (J.R.) RANDAL LEWIS Chief Manager 423-975-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |