NPI | 1609317122 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANDRE WELLS Founder/CEO 443-839-6240 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 133N00000X Nutritionist |
251E00000X Home Health | |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |