| 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 |