| NPI | 1922271410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PHILLIPS Executive Director 662-241-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 824) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |