| 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 |