| NPI | 1699713164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. SCOTT BIDWELL Manager Of LLC 931-424-1456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 073) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2025-05-19 |