NPI | 1952929408 |
---|---|
Other Name | COMPLETE WELL-CARE SOURCE LLC |
Entity Type | Organization |
Authorized Contact | MYRA VAUGHTERS WILSON CEO 336-682-8968 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |