| NPI | 1992723696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SHELTON Director/Secretary 601-956-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 986) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-10-28 |