| NPI | 1801160080 |
|---|---|
| Doing Business As | A'MIRACLE CDS |
| Entity Type | Organization |
| Authorized Contact | VENOLIA ANTIONETTE WEAVER C Eo/Vendor 314-649-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-07-21 |