| NPI | 1538492111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVA WARD CEO 601-807-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS R564826) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |