NPI | 1750561882 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH AVERY VICTOR Administor 985-651-7887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 10007) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |