NPI | 1255641346 |
---|---|
Doing Business As | OLANTA FAMILY CARE |
Entity Type | Organization |
Authorized Contact | TONY MEGNA CEO 803-254-3676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-10-07 |
Last Update Date | 2024-08-07 |