| 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 |