| NPI | 1538375753 |
|---|---|
| Doing Business As | ULM |
| Entity Type | Organization |
| Authorized Contact | JOHN RAYMOND WOOTEN Program Director 318-361-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 120530) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |