| NPI | 1073758975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE C ODOM Managed Care 601-928-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 12-280) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2016-06-09 |