NPI | 1962508119 |
---|---|
Doing Business As | RIVER CHASE VILLAGE |
Entity Type | Organization |
Authorized Contact | CAMERON DIRK GODDARD Ar Manager 601-824-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 956) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2012-02-16 |