NPI | 1205997517 |
---|---|
Other Name | SOURCEONE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | WAYNE MACARDY President 800-779-1276 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-11-13 |