| NPI | 1023406832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE L CHRISTIAN Administrative Assistant 662-840-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 802) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |