Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1861336315 |
| LBN Legal business name | TRUCARE PRIMARY HEALTH PC |
| Authorized official | LADY PANELO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/15/2026 |
| Last updated | 05/18/2026 - About 3 weeks ago |
| Identifiers | n/a |
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TRUCARE PRIMARY HEALTH PC
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