| NPI | 1790451300 |
|---|---|
| Other Name | FIVE ACRES STRTP COLBY |
| Entity Type | Organization |
| Authorized Contact | SHAULON SHANKLIN Director Of Claims Operation 626-993-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-09-13 |