NPI | 1902055767 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNIE PEARL BROWN-WILLIAMS CEO 662-402-1970 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MS 4000) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2008-09-16 |