| NPI | 1578740882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY RUCKER Resident Physician 313-942-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: GA 861500) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |