NPI | 1770577405 |
---|---|
Doing Business As | CASA DE PAZ HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | CHAUNCEY R. DUNBAR Secretary / Treasurer 601-956-1576 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 970125) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 0474718) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2008-09-16 |