| NPI | 1649250291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROTOLO Vice President 601-853-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 478) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-06-17 |