| NPI | 1508086588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE K. TAYLOR President 317-508-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IN 200846680) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |