NPI | 1558582361 |
---|---|
Doing Business As | EHS FIRST CARE NORTH |
Entity Type | Organization |
Authorized Contact | DIRENDIA SHACKELFORD Managed Care Specialist 800-654-0889 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA MD00015869) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2010-01-25 |