| NPI | 1174904601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2021-10-01 |