| NPI | 1255776639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HINES Administrator 251-867-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: AL 1-032891) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-01-06 |