NPI | 1417194325 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENCIA FULLER MAGEE Manager 225-647-0580 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1756) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |