| NPI | 1073921136 |
|---|---|
| Doing Business As | JOYCE MELTON |
| Entity Type | Organization |
| Authorized Contact | JOYCE MELTON Service Facilitator 804-839-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-10-07 |