| NPI | 1649363680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE-MICHELLE SABATHIER DANIEL Administrator 601-355-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 53) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |