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 |