NPI | 1063588960 |
---|---|
Doing Business As | BOLIVAR FAMILY CARE CENTER |
Entity Type | Organization |
Authorized Contact | VICKIE L VICKERS Director Specialty Clinic & Physica 417-328-6908 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-11-24 |
Last Update Date | 2014-02-17 |