| NPI | 1992693329 |
|---|---|
| Doing Business As | CARESOURCE |
| Entity Type | Organization |
| Authorized Contact | JAYME M PUU President 937-974-3518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |