NPI | 1578283693 |
---|---|
Doing Business As | SHERIDAN EAST END |
Entity Type | Organization |
Authorized Contact | GARY ALLAN NICHOLS CEO 870-942-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2024-10-01 |