Organization Name: | LADY OF THE SEA GENERAL HOSPITAL |
NPI Number: | 1548648025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD ANTHONY WALKER (STAFF PHARMACIST) |
Mailing Address: | 200 W 134th Pl Cut Off |
State: | LA US |
Postal Code: | 703454143 |
Phone Number: | 9856328331 |
Fax Number: | 9856322102 |
NPI Enumeration Date: | 05/15/2015 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 009546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |