| NPI | 1982246773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANE PARKER Cno 740-994-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2024-03-14 |