| NPI | 1578626081 |
|---|---|
| Other Name | WV STATE HEMOPHILIA PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LORETTA E. HADDY Division Directyor 404-558-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WV not required) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |