NPI | 1831540533 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN HILL-FORD ANDERSON Owner 601-493-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MS 310A0625X) |
Additional Taxonomies | 163W00000X Registered Nurse |
Enumeration Date | 2016-06-24 |
Last Update Date | 2016-07-04 |