| NPI | 1619029105 |
|---|---|
| Doing Business As | DICKENSON SWING BED UNIT |
| Entity Type | Organization |
| Authorized Contact | MARY LYNN KRUTAK EVP/CFO 423-302-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-02-05 |