NPI | 1871777227 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS MACK V.P.Operations & Facility Managemen 269-938-8399 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2007-12-20 |
Last Update Date | 2007-12-20 |