NPI | 1689158487 |
---|---|
Former Legal Business Name | CHLOE OX PARENT LLC |
Entity Type | Organization |
Authorized Contact | JASON BELYEA VP / CFO 315-569-8673 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-09-18 |
Last Update Date | 2024-12-02 |