| NPI | 1528376217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOLEWARE Administrator 601-795-4543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MS 21087) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |