| NPI | 1821277732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE BELL LOUALLEN Cna 423-949-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN 311ZA0620X) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |