| NPI | 1609204411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D HARDISON Nursing Supervisor 931-762-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN 82085) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |