| NPI | 1285179887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAPLE LEAN CAMPBELL CEO 662-445-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 205593) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-05-23 |