| NPI | 1710188578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA DALE GREENWOOD Executive Director 615-360-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |