| NPI | 1891086807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HALLEY Implementation Manager 813-806-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |