| NPI | 1245420934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA JEANE GIBBS CEO 502-819-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: KY 279690) |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2007-07-28 |