| NPI | 1699046078 |
|---|---|
| Doing Business As | CHKD HEALTH CENTER AT LIGHTFOOT |
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL RYAN Senior VP/CFO 757-668-8565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |