| NPI | 1366728958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS I AIKHU Pres/CEO 757-401-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 07426513) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |