| NPI | 1073119749 |
|---|---|
| Doing Business As | PANOLA MEDICAL SWINGBED |
| Entity Type | Organization |
| Authorized Contact | ROBERT QUENTIN WHITWELL CEO 662-701-9346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-01-21 |