| NPI | 1063539997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J SHEPOSH Chief Executive Officer 740-264-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 1310) |
| Additional Taxonomies | 251S00000X (Licence: OH 0191) |
| 251S00000X (Licence: OH 1308) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2016-01-27 |