NPI | 1679896088 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGIE R JONES-DUDLEY Sole Owner 719-473-1805 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 6148) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2010-03-12 |