| NPI | 1932643095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA SHANELL FRANKLIN Owner/Lpn 769-204-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MS P327657) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MS P321846) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |