| NPI | 1336930551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON LAMOREAUX Health Plan President 502-619-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |