NPI | 1235306754 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARICE ALTHEA JABOUR Owner 985-651-0817 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA PCA11435) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |