Organization Name: | PREFERRED HEALTH SOLUTIONS |
NPI Number: | 1992033955 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNDAY N LAIRD (PROVIDER) |
Mailing Address: | 3966a Brown Ct Mc Guire Afb |
State: | NJ US |
Postal Code: | 086411649 |
Phone Number: | 6097240090 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2009 |
NPI Last Update Date: | 12/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |