| NPI | 1336407477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA EDWARDS Regional Medical Services Manager 616-774-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |