NPI | 1902039407 |
---|---|
Doing Business As | HERMON HOPE |
Entity Type | Organization |
Authorized Contact | SHERRILL ANN SLAYTON President 469-939-1385 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |