| NPI | 1033215793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE HOLLAND Owner 662-489-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 118) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-03-05 |