NPI | 1063849016 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY C BARKLEY Agent/Owner 330-206-2063 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 19090) |
Enumeration Date | 2013-10-07 |
Last Update Date | 2013-10-07 |