| NPI | 1710595202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDONGO LIKEMBI Doctor Of Nursing Practice (Dnp) 256-797-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |