| NPI | 1750456034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY GOOLSBY Accountant Business Office Manager 601-267-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 214) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |