| NPI | 1952307316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C HOLLAND Vice President 662-862-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 202) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-11-18 |