| NPI | 1306009543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE ELLIOTT CHERRY Owner/CEO 731-217-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 14380969684) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |