NPI | 1225022262 |
---|---|
Doing Business As | DEPORRES HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LAURA J DUERR Business Manager 662-326-9232 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MS 207R00000X) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2008-03-18 |