| NPI | 1679988380 |
|---|---|
| Former Legal Business Name | FREDERIKSTED HEALTH CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | ANITA BROWN Dental Resident 865-257-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |