NPI | 1902030687 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG BRADFORD LAMAN Member 731-696-4670 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN ACL00000000057) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-05-08 |