| NPI | 1093198111 |
|---|---|
| Doing Business As | SENIOR AND DISABLED SERVICES |
| Entity Type | Organization |
| Authorized Contact | VINCE RENO COWART Owner Operator 660-262-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |