NPI | 1316217367 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH DARLENE STEVERSON Owner/Director 601-477-9041 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 898) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-01-09 |