| NPI | 1336331685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DARLENE STEVERSON Owner/Administrator 601-649-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MS 898) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: MS 898) |
| 385H00000X Respite Care (Licence: MS 898) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |