| NPI | 1386828713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVONNA CATHERINE CAIN Owner 228-392-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 1010) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2014-12-19 |