| NPI | 1821265919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUE HALES Owner 302-740-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: DE MT-0003432) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2017-03-29 |