| NPI | 1902081029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY WILEY Administrator 601-922-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 697) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |