| NPI | 1245905405 |
|---|---|
| Doing Business As | SE LACKEY MEMORIAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JOHN LEE Chairman Of Board 601-469-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |