| NPI | 1972549467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D DORAN JOHNSON Manager Of LLC 931-424-1456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 183) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-01-02 |