| NPI | 1336346790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE MARIE PETTIT Resident 401-487-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ 80821) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2009-02-12 |