| NPI | 1487099115 |
|---|---|
| Doing Business As | FAYETTE MEMORIAL HOSPITAL GERI PSYCH |
| Entity Type | Organization |
| Authorized Contact | RANDALL WHITE CEO 765-827-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IN 1750050591) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2017-10-18 |