| NPI | 1841755865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HINES Nurse Manager 601-469-4389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |