| NPI | 1902121650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D. MILLER RN 423-798-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN RN0000110839) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |