| NPI | 1952743049 |
|---|---|
| Doing Business As | SOUTH MISSISSIPPI HOME |
| Entity Type | Organization |
| Authorized Contact | MARK R FAWCETT Regulatory Affairs Specialist 781-699-9303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |