Merriweather Life Line

NPI #1720416209 in Princeton, Texas

Provider Information

NPI Number
1720416209
Entity Type
Organization
Organization Name
Merriweather Life Line
Primary Specialty
Health Maintenance Organization
Enumeration Date
Oct 21, 2013
Last Updated
Jun 30, 2015

Practice Location

Address
RT BOX 1191
State
Texas
ZIP Code
75407-1191
Phone
(214) 664-0867

Authorized Official

Name
ROSALIND THOMPSON-CARROLL, MASTERS OF SOCIOLOGY
Title
CEO
Phone
(214) 664-0867

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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