| NPI | 1518245307 |
|---|---|
| Doing Business As | JEFFERSON DAVIS EXTENDED CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW WOODARD Chief Financial Officer 601-288-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 254) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-12-20 |