| NPI | 1689878910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LOGAN C&P Examiner 803-629-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: VA 0116018503) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |