NPI | 1154787190 |
---|---|
Doing Business As | LABETTE HEALTH INDEPENDENCE CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS L MACARONAS CFO/COO 620-820-5251 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2016-01-06 |
Last Update Date | 2023-09-21 |