| NPI | 1174363683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY D VANG Lead Coverage Case Manager 479-899-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |