| NPI | 1548413628 |
|---|---|
| Doing Business As | LIFECORE HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN STALL CFO 662-844-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-03-20 |