| 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 |