Organization Name: | GRAHAM HOSPITAL ASSOCIATION |
NPI Number: | 1134139785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT G. SENNEFF (PRESIDENT / CEO) |
Mailing Address: | 210 W Walnut St Canton |
State: | IL US |
Postal Code: | 615202444 |
Phone Number: | 3096475240 |
Fax Number: | 3096495110 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2001246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |