| NPI | 1992804512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL KENNETH POSEY Administrator 601-764-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 209) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |