NPI | 1053371138 |
---|---|
Doing Business As | PIEDMONT MOUNTAINSIDE HOSPTIAL SWING BED UNIT |
Entity Type | Organization |
Authorized Contact | ED LOVERN CEO 706-301-5269 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: GA 112-619) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2012-05-30 |