| NPI | 1972620292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY VARNER Administrator 662-473-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 11-223) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-02-07 |