| NPI | 1174916225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBURRAHAMAN SIVAKUMAR CEO 7344-327-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |