NPI | 1780741488 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA DENISE BARKSDALE Director, Managed Care 219-757-6414 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |