| NPI | 1255790937 |
|---|---|
| Other Name | BURNSVILLE - YANCY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |