| NPI | 1821604125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Vice President, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-03-11 |