| NPI | 1700658853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PARKER CEO 844-778-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251E00000X Home Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-11-17 |