| NPI | 1295984243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE PEARL SMITH Director/Owner 601-832-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |