| NPI | 1174664833 |
|---|---|
| Doing Business As | SOUTH CAMERON MEMORIAL LONGTERM CARE |
| Entity Type | Organization |
| Authorized Contact | RAY L SHOEMAKER CEO 662-840-0196 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: LA 534) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-02-07 |