NPI | 1760801534 |
---|---|
Entity Type | Organization |
Authorized Contact | EDEN WHEELER President/Owner 816-560-4155 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 105924) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2014-04-09 |