NPI | 1417147059 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON BRUMLEY Senior Vice President, Regulatory S 757-962-6452 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SC 161350) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2011-11-30 |