| NPI | 1063697340 |
|---|---|
| Doing Business As | EPSDT SCREENING |
| Entity Type | Organization |
| Authorized Contact | JESSE KING Superintendent 662-398-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS R856346) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2013-03-21 |