| NPI | 1003349549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA KENNETH THOMPSON President/CEO 844-620-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |