| NPI | 1902859291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12581) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-08-28 |