| NPI | 1326197211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUADINE B CLEVELAND Administrator 601-366-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 326) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-03-26 |