| NPI | 1265429971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DALE LENARD Administraotr 662-363-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 733) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |