NPI | 1497736813 |
---|---|
Doing Business As | DESOTO HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | BRENT TICE Vice President 601-928-5890 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 771) |
Enumeration Date | 2005-11-11 |
Last Update Date | 2010-01-15 |