| NPI | 1245820554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C HECK Owner 601-365-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |