| 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 |