| NPI | 1881749596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK D WOLFE Administrator 931-296-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000135) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: TN 0135) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000135) | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-09-29 |