| NPI | 1205823812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GWIN WHITE Administrator 662-773-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 562) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-06-19 |