NPI | 1609259936 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY HAMMOND Administrator 601-912-0373 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2015-07-06 |
Last Update Date | 2015-07-06 |