| NPI | 1235428350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET BOHN-GALAS Sole Proprietor 440-290-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OH i.0007620) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-08-20 |