| NPI | 1740946292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ERMAYNE HARRIS CEO 870-208-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |