| NPI | 1063709822 |
|---|---|
| Doing Business As | BELVEDERE COMMONS OF HERMITAGE |
| Entity Type | Organization |
| Authorized Contact | DEBBIE WHITE Accounts Payable 601-276-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |