| NPI | 1821524075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE MITCHELL Administrator 931-881-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN tnpl536621) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |