| NPI | 1265821706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ADAM KNIGHT Owner/Operator 712-389-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 6026) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-05-07 |