| NPI | 1942070149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES EDWARD GREEN Founder 615-649-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |