| NPI | 1043513674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR N SUEING Vice President 901-365-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 2017486) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |