NPI | 1104171990 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN SULLIVAN RN Owner 479-495-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: AR 192062765) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2012-07-17 |