| NPI | 1417398520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JEANETTE FELTON Executive Director 601-437-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MS 00770582) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |