| NPI | 1518192822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN A ESCARFULLER Owner 985-385-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 04051R) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-19 |