NPI | 1184819740 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG ARNOLD Manager 228-875-5447 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 300) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2009-05-12 |