| NPI | 1871580886 |
|---|---|
| Doing Business As | BROOKHAVEN MANOR |
| Entity Type | Organization |
| Authorized Contact | JUDY L JOHNSON Office Manager 423-246-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000261) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-11-20 |