| NPI | 1093188344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIA BARKATULLAH President And Owner 601-397-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 2015013534) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2024-10-31 |