| NPI | 1043515612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNA M MCKNIGHT CEO/President 1479-582-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 164W00000X Licensed Practical Nurse | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2012-03-28 |