| NPI | 1851446470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY FULLER President 704-719-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL RN 9245770) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-08-08 |