NPI | 1427452952 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L FACTOR Owner 855-200-8262 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 56829) |
Enumeration Date | 2014-10-13 |
Last Update Date | 2014-10-13 |