| NPI | 1629258181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WALDIE Office Manager 434-572-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0101021765) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |