| NPI | 1649473992 |
|---|---|
| Doing Business As | LIFE HCS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RODNEY SHANE CARLSON Owner Program Director 956-683-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-30 |