| NPI | 1629812847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDY P SALES Case Manager 747-213-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |