| NPI | 1144365784 |
|---|---|
| Doing Business As | TRACE HAVEN HEALTH & REHAB |
| Entity Type | Organization |
| Authorized Contact | VICKI M HODGE Business Office Manager 601-442-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 513) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |