| NPI | 1871992131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY D YOUNGBLOOD RN 601-320-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MS R897708) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MS P326213) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |