| 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 |