NPI | 1942673504 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 12-321) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2015-11-04 |