NPI | 1538556311 |
---|---|
Doing Business As | MILLCREEK OF PONTOTOC MYPAC |
Entity Type | Organization |
Authorized Contact | ED HOOD Chief Executive Officer 662-488-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS 911) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2015-04-20 |