NPI | 1568572485 |
---|---|
Doing Business As | PONTOTOC NURSING HOME |
Entity Type | Organization |
Authorized Contact | JOSEPH A REPPERT CFO 662-377-3978 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 590) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-11-11 |