NPI | 1780879361 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNNY CHARLES HARRIS C. E. O. 870-246-8212 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR 302R00000X) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2007-09-07 |