| NPI | 1154786622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN CRUM Owner 931-622-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 6490) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-01-12 |