| NPI | 1821311747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPADRINE MAVIS CLARKE Manager 215-927-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA 179657) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |