| NPI | 1689535189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUS JOHNSON Owner/Manager 615-300-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |