| NPI | 1235370297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M GOTTSCHLING Supplier/Fitter 419-756-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 70050983) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2011-03-24 |