| NPI | 1366531725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVONNA CATHERINE CAIN Owner 601-928-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 195) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-02-18 |