| NPI | 1619296936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYONGCHOL KIM Physician 423-619-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 43029) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2011-06-02 |