| NPI | 1255454070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA VICTORIA ARANDA Resident 706-664-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: GA 001189) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2020-08-22 |