| NPI | 1245389386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCKNIGHT Administrator 601-420-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-12-27 |