| NPI | 1780360966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA BAILEY Administrator 901-340-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |