| NPI | 1134796824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAL CCCCCCC Admin 877-882-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 208D00000X General Practice | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1100X Clinic/Center, Research | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-10-03 |