| NPI | 1619109063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HATTIE TOLLIVER Executive Director Of Operations 423-544-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN I000000004937) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |