| NPI | 1760759609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME JOHNSON C RN A 209-604-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 041.368242) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |