| 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 |