| NPI | 1114703055 |
|---|---|
| Former Legal Business Name | SUMMACARE OF MICHIGAN, INC. |
| Entity Type | Organization |
| Authorized Contact | TRISHA WHETSTONE Associate Counsel 614-546-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |