| NPI | 1093008542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. G. JACK BOBO Managing Partner 662-624-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 933) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |