NPI | 1174935324 |
---|---|
Doing Business As | ALL-STAR HEALTH SOLUTIONS |
Entity Type | Organization |
Authorized Contact | DIANE KAY TOMLINSON CEO 419-230-5446 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 31-5060) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: OH 31-5060) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2017-07-10 |