| NPI | 1063611218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R MCINTOSH Revenue Realization Center Manager 8593-131-4120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282E00000X (Licence: KY 18Z305) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-04-09 |