| NPI | 1346513637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA NELSON Biller 501-562-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR OT-A471) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |