| NPI | 1669654547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY JEFFERSON SCOTT Chief Operating Officer 318-651-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1476021) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |