| NPI | 1154852960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEVEN ATAKLTE Resident 929-343-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 39) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |