| NPI | 1851506554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON MONROE CAUSEY Director Of Quality 318-641-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1430781) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |