| NPI | 1902938079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL DENISE BELL R.N. 731-364-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN RN0000087157) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |