| NPI | 1982838660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BRADFORD LAMAN Member 731-696-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN ACL00000000182) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |