| NPI | 1063725331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN CUMMINGS Oener 662-424-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 05351056) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |