NPI | 1891131801 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN DAVIS Facility Director, Staff Nurse 731-549-7290 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: TN ACL0000000369) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |