| NPI | 1457643843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY HILL Administrator 228-323-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 1041) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |