| NPI | 1861713752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NV 1196SNF-10) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-08-12 |