| NPI | 1962655175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY R OKEMWA Director 952-594-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 340666) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |