| NPI | 1386950145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C HARRIS Owner/Administrator 601-325-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: MS 1038) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MS 1038) |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: MS 1038) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |