| NPI | 1578086757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HOLLIDAY Chief Operating Officer 866-411-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |