NPI | 1982244885 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN WHEATLEY President, Retail Segment 502-580-2003 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |