| NPI | 1780966424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DARLENE STEVERSON Owner/Director 601-477-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 1059) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-12-20 |