Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI # | 1538450911 |
| LBN Legal business name | LARCH CORRECTIONS CENTER |
| Authorized official | LOUIS MCDERMOTT - (HEALTHCARE FINANCE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/20/2011 |
| Last updated | 04/20/2011 - About 15 years ago |
| Identifiers | n/a |
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LARCH CORRECTIONS CENTER
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