NPI | 1093481137 |
---|---|
Former Legal Business Name | ASSURANCE OPTIMAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | KWAME ACHEAMPONG Np 203-278-1125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-08-18 |
Last Update Date | 2021-08-18 |