NPI | 1346453669 |
---|---|
Entity Type | Organization |
Authorized Contact | PAIGEDENE ANN EAGLIN CEO 225-342-0138 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA PCA 7065) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |