NPI | 1114703055 |
---|---|
Former Legal Business Name | SUMMACARE OF MICHIGAN, INC. |
Entity Type | Organization |
Authorized Contact | TRISHA WHETSTONE Associate Counsel 614-546-4651 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-09-06 |