| NPI | 1609591510 |
|---|---|
| Doing Business As | JORDAN RIVER |
| Entity Type | Organization |
| Authorized Contact | LESLEY WILKERSON Healthcare Administrator 901-651-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |