| NPI | 1154379469 |
|---|---|
| Doing Business As | CHOCTAW RESIDENTIAL CENTER ENTERPRISE |
| Entity Type | Organization |
| Authorized Contact | WENDY MICHELLE MORAN Nursing Home Administrator 601-656-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 583) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-11-06 |