NPI | 1417316415 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA JOY WORKMAN Referral Clerk/Rece PT Ionist 304-399-6833 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV WV 19564) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |