| NPI | 1689799207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY RILEY Cco Business Office Director 601-847-7130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 13216) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-29 |