| NPI | 1699764159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY HOGT MCKAY Administrator 662-726-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 682) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |