| NPI | 1053373472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE J FONTENOT Supervisor Mso 410-605-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MD D48215) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NC 32512) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |