| NPI | 1811107782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA MARIE JENKS Owner Co Owner 620-662-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: KS 078014) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-09-06 |