| NPI | 1750601662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD IRELAD CFO 615-377-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |