| NPI | 1700132065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE W BATES Administrator 601-856-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 916) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |