| NPI | 1922386671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MORELL Administrator 731-967-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN ACL0000000106) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |