NPI | 1346570868 |
---|---|
Entity Type | Organization |
Authorized Contact | JACI A LAROUX CEO 906-774-7511 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 220003) |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |