NPI | 1104101781 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE HERB Local RN Care Coordinators 410-628-1258 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD R177713) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |