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 |