| NPI | 1215135710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEKAYA R JONES RN 216-659-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH RT636966) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |