| NPI | 1265582589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SILLERS Cpc & Case Management Supervisor 712-374-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |