NPI | 1679941447 |
---|---|
Entity Type | Organization |
Authorized Contact | HOUSSAM ELCHEKHA Owner 573-639-0256 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WI 7001-15) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |