| NPI | 1568683498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J. WHITFIELD Administrator 662-286-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 168) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-03-26 |