NPI | 1679191779 |
---|---|
Doing Business As | ALICE PLACE MEDICAL CARE SERVICES |
Entity Type | Organization |
Authorized Contact | MONNIE ESTHER ADERETI Fnp 469-756-7021 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2021-12-22 |