| NPI | 1295195162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ANN VINCUILLA Registered Nurse 508-561-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA RN211669) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |