| NPI | 1710273040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE GOULD Licensed Practical Nurse 928-729-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: AZ LPO42607) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |