| NPI | 1891082145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |