NPI | 1972575009 |
---|---|
Doing Business As | GULF STATES LTAC OF HAMMOND |
Entity Type | Organization |
Authorized Contact | EUGENE E. SMITH President And COO 225-216-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 282E00000X (Licence: LA 446) |
Additional Taxonomies | 284300000X Special Hospital (Licence: LA 446) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2009-02-12 |