NPI | 1972962330 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE LOWE Owner/Manager 816-222-4783 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO LC001475210) |
Enumeration Date | 2016-02-14 |
Last Update Date | 2016-02-14 |