| NPI | 1982300554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA RENEE BARNES Fnp C 601-455-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 261QP2300X Clinic/Center, Primary Care | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |