| NPI | 1265449367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER LESTER PHILLIPS CEO 662-241-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 865) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |