| NPI | 1669086591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY N DAVIS Owner/Manager 601-214-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-11 |