| NPI | 1376727818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LENARD Business Office Manager 662-363-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 733) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-04-24 |