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 |