NPI | 1518125244 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL JEAN DRAUGHON Bookkeeper 605-369-5445 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: SD 00000000000000000000) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |