| NPI | 1811979990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE A. WORREL Controller 601-583-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 237) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2010-01-15 |