| NPI | 1134582919 |
|---|---|
| Doing Business As | MIDSOUTH HAVEN CARE HOME |
| Entity Type | Organization |
| Authorized Contact | KATIE BOYCE BERRY President 901-620-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |