NPI | 1326229865 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN JETER Administrative Assistant 318-746-8507 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-12-03 |