| NPI | 1245202373 |
|---|---|
| Doing Business As | GULF STATES LTAC WASHINGTON/ST TAMMY |
| Entity Type | Organization |
| Authorized Contact | CHERYL WALLACE CFO 225-216-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: LA 418) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |