| NPI | 1003380536 |
|---|---|
| Doing Business As | CHP WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALICIA BANGE Accounting Services Manager 850-523-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2021-09-21 |