| NPI | 1932527249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA P PATTON Owner/Operator 318-629-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA apo1383) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |