| NPI | 1982873212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SELF Controller 706-896-7109 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: GA 139-583) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-11-15 |