| NPI | 1588646251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNAN P FOWLER PT Account Manager 912-523-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2025-09-11 |