| NPI | 1164825915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA S HUGHES President 205-910-5665 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |