NPI | 1093924250 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA LASSAI Owner Director 843-846-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC ADC116) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2009-09-25 |