| NPI | 1427188713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSSIE W ASHLEY Administrator 601-833-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 175) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-11-19 |