NPI | 1740526961 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA ETHERIDGE CEO 662-582-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS R857836) |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2012-12-14 |
Last Update Date | 2025-02-21 |