| NPI | 1326363417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA BELLE Owner 757-826-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0024000020) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |