NPI | 1548488224 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE DANIEL CEJA CEO 662-756-2711 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 11-168) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MS 11168) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-06-08 |