NPI | 1205196201 |
---|---|
Former Legal Business Name | INTEGRATED SERVICES OF APPALACHIAN OHIO INC |
Entity Type | Organization |
Authorized Contact | SAMANTHA SHAFER CEO 740-644-9872 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2012-05-23 |
Last Update Date | 2025-02-12 |