| NPI | 1023075355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI PARKINSON Authorized Representative 601-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 766) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2024-11-30 |