| NPI | 1346869088 |
|---|---|
| Doing Business As | CENTRAL CARE CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY CLOYD Provider Enrollment Specialist 785-823-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |