| NPI | 1659555761 |
|---|---|
| Doing Business As | EXTENDED CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | HEATHER HOLEMAN GODSEY Revenue Cycle Director 662-625-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 1054) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2025-05-12 |