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 |