NPI | 1831485085 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL U ONUZURUIKE Administrator Owner 816-523-4023 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 305R00000X Preferred Provider Organization |
Enumeration Date | 2011-06-27 |
Last Update Date | 2011-07-31 |