| NPI | 1881624815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA MCCARTNEY Administrator 731-784-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000087) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-06-23 |