| NPI | 1881942084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREINEDER Director Of Nursing 423-787-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN 165098) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |