NPI | 1396063434 |
---|---|
Entity Type | Organization |
Authorized Contact | ADA L FRAZIER Owner 256-828-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AL ds4310) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-05-13 |