| NPI | 1033551734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK JON RISOLVATO Owner 419-228-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 30-021809) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |