NPI | 1629394853 |
---|---|
Doing Business As | JAMES T. CHAMPION NURSING FACILITY |
Entity Type | Organization |
Authorized Contact | CHARLES CARLISLE Hospital Director 601-581-7878 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 1034) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2020-05-12 |