| NPI | 1619251709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELLEMENTTA BAKER Registered Nurse 928-729-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: AZ RN139390) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |