NPI | 1609164912 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON LANE BROWN Owner 601-467-3476 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS TA2354) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |