| NPI | 1053416354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESIA LAVONNE DUPINS Staff Nurse 501-257-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: AR R25043) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |