NPI | 1649311507 |
---|---|
Doing Business As | JACKSON HOSPITAL |
Entity Type | Organization |
Authorized Contact | BROOKE DONALDSON Chief Executive Officer 850-718-2622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: FL 3999) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2021-08-23 |