| NPI | 1871753715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR RAO RAYUDU Owner 662-563-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MS 11653) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |