NPI | 1598020703 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL M HOUCK Owner/Administrator 662-551-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 871) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |