| NPI | 1528085560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE BENNETT HUBBARD Manager 601-849-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12543) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-01-20 |