| NPI | 1750306601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE HILL Administrator 601-394-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 620) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-12-24 |