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 |