| NPI | 1730210642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEDA JEAN DILLON Business Office Director 601-384-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 111-75) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-09-03 |