NPI | 1972689313 |
---|---|
Other Name | REGINALD P WHITE NURSING FACILITY |
Entity Type | Organization |
Authorized Contact | WILLIAM HAMRICK ENTREKIN Business Services Director 601-581-7969 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 1230) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-07-27 |