| NPI | 1942614219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE JO ADAMS Sole Proprietor 601-942-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS R889314) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |