| NPI | 1174716179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M HOFFMAN Administrator 662-746-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 152) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |