| NPI | 1215225149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A HADLEY Director 601-720-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |