NPI | 1194968396 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY G PAVLAT Resident 347-246-7494 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL ME103761) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |