| NPI | 1124354782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETAL THAKORE Internist 706-434-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: GA 005657) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA 005657) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |