| NPI | 1679531362 |
|---|---|
| Doing Business As | HERITAGE MANOR OF MANDEVILLE |
| Entity Type | Organization |
| Authorized Contact | TONI PARKINSON Authorized Official 601-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 764) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-11-17 |