NPI | 1972843555 |
---|---|
Entity Type | Organization |
Authorized Contact | ATAUR REHMAN Sole Member 256-240-7332 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 28235) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2016-10-12 |