NPI | 1902235328 |
---|---|
Doing Business As | INTERCARE RIVERWOOD CENTER |
Entity Type | Organization |
Authorized Contact | VELMA HENDERSHOTT CEO/President 269-427-7937 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2014-04-24 |