| NPI | 1164972378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRANKLIN Administrator 662-628-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |