NPI | 1659747988 |
---|---|
Doing Business As | AGING GRACEFULLY |
Entity Type | Organization |
Authorized Contact | CAROL NEWTON Executive Director 601-894-1120 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2015-08-20 |
Last Update Date | 2015-08-20 |