NPI | 1184758278 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C LEY Registered Agent 808-875-7595 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: HI DOS526) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |