| NPI | 1629205471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA L ELLIS Director Of Financial Operations 601-304-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 302) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |