| NPI | 1194273508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA LEONARD Dietitian 984-438-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: LA 2319) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |