NPI | 1174834816 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN RICE President 239-362-0668 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL AP1324) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-07-08 |