NPI | 1356463020 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENDA ARLENE WASHINGTON Director 318-793-8453 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA PCA10531) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |