NPI | 1700976503 |
---|---|
Former Legal Business Name | OLE HEALTH |
Entity Type | Organization |
Authorized Contact | ALICIA HARDY Chief Execuitve Officer 707-254-1774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000098) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2019-11-15 |