| NPI | 1447649785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ELLIS Provider Enrollment 1919-873-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: VA 0024169067) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |