Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1275383689 |
| LBN Legal business name | POA LIVING L.L.C |
| Authorized official | DAMARIS NDUNGU - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/26/2024 |
| Last updated | 03/26/2024 - About 2 years ago |
| Identifiers | n/a |
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