NPI | 1467123612 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARNESHIA R SUMMERVILLE Owner (Care Coordinator 262-202-2014 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-09-27 |
Last Update Date | 2021-09-27 |