| NPI | 1801884010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H NEWCOMB Administrator 423-472-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-12-01 |