| NPI | 1639469919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY B CAPLAN Physician 865-691-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN TN000300) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |