NPI | 1538359278 |
---|---|
Former Legal Business Name | ANCICARE |
Entity Type | Organization |
Authorized Contact | ARLENE CHEJANOVSKI Branch Manager 954-744-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 261QR0200X) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2011-03-22 |