| NPI | 1316227580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MONROE Owner 662-887-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MS 1014) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |