NPI | 1598264798 |
---|---|
Doing Business As | PROJECT HEALTHY CHOICES |
Entity Type | Organization |
Authorized Contact | CANDACE LEWIS-SHASHIKARSHE CEO 352-368-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2018-02-03 |
Last Update Date | 2018-02-03 |