| NPI | 1538877337 |
|---|---|
| Other Name | MCH SWING BED PART B |
| Entity Type | Organization |
| Authorized Contact | CRISSA P SHAW Credentialing Coordinator 229-758-4212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |