| NPI | 1366848574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A MORALES Owner 706-540-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: GA 16744) |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |