| NPI | 1578260436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA PADGETT CEO 267-974-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |