| NPI | 1326178203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA NELL EUBANKS Controller 662-234-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 354) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-10-28 |