NPI | 1912450495 |
---|---|
Doing Business As | ROCKING HORSE CENTER MULBERRY FQHC |
Doing Business As | ROCKING HORSE COMMUNITY HEALTH CENTER MULBERRY FQHC |
Doing Business As | ROCKING HORSE CENTER |
Doing Business As | ROCKING HORSE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SHONDA E WALLACE Chief Financial Officer 937-324-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2024-11-20 |