NPI | 1942559745 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON HARVEY Assistant Manager 662-455-3878 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MS 960) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2012-09-07 |