NPI | 1881869295 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANCI S SHAW Executive Director 337-948-3194 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1016021) |
Enumeration Date | 2008-04-26 |
Last Update Date | 2008-04-26 |