| NPI | 1891228581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH STEVERSON Lpn/Vice President 601-477-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MS 1059) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MS 1059) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |