| NPI | 1336108810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL JACKSON Owner 702-862-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV 116513) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-09-29 |