| NPI | 1073661260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LYNN WAGNER Manager 419-691-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: OH 05-4744) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |