| NPI | 1811232135 |
|---|---|
| Doing Business As | FONDREN COVE ASSITED LIVING |
| Entity Type | Organization |
| Authorized Contact | CAMMIE E KITCHENS Executive Director 601-981-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |