| NPI | 1144565383 |
|---|---|
| Doing Business As | SHIRLEY CHEVRY-JULES |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY CHEVRY-JULES Lpn 614-593-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 144213) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |