| NPI | 1417302001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SULLIVAN Executive Director 601-856-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 549) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |