| NPI | 1982360640 |
|---|---|
| Former Legal Business Name | UNDERWOOD HEALTHCARE SERVICES L.L.C. |
| Entity Type | Organization |
| Authorized Contact | RASHONDA UNDERWOOD Administrator 856-879-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |