| NPI | 1982382453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENEE NICKELL Owner/Administrator 931-220-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |