| NPI | 1669560488 |
|---|---|
| Other Name | TELECARE LA - ACT OLDER ADULTS |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 105-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-07-14 |