| 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 |