| NPI | 1649503699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BOLEWARE Administrator 601-384-5801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 11175) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2015-02-16 |