| NPI | 1083662944 |
|---|---|
| Doing Business As | HERITAGE MANOR SOUTH |
| Entity Type | Organization |
| Authorized Contact | TONI PARKINSON Authorized Representative 601-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 784) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-05-03 |