| NPI | 1649782202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY LENORA LONG Administrator 662-329-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 1212) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |