NPI | 1508991357 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA PULLIAM SATTERWHITE Administrator 662-566-9974 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 876) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-12-11 |