NPI | 1689489940 |
---|---|
Entity Type | Organization |
Authorized Contact | PICCOLAR JOHNSON Administrator 601-942-8571 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-02-12 |