| 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 |