| NPI | 1952430167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE C TATE Health Care Coordinator 901-377-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN PSS0000000254) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |