| NPI | 1043027964 |
|---|---|
| Doing Business As | MOONAH HEALTH |
| Entity Type | Organization |
| Authorized Contact | LUKE A KIST Co Founder 251-223-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |