| NPI | 1114514296 |
|---|---|
| Doing Business As | DEDICATED SENIOR MEDICAL CENTER WEST CORUM |
| Entity Type | Organization |
| Authorized Contact | MARY CHEN Executive Officer 305-628-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |