THEODORE R GOVER LLC

VIENNA, WV
NPI1235714759
Entity TypeOrganization
Authorized ContactTHEODORE R GOVER
Owner
937-570-0002
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
THEODORE R GOVER LLC
310 38TH ST
VIENNA, WV 26105-1722
Phone number: 937-570-0002
Mailing Address
THEODORE R GOVER LLC
310 38TH ST
VIENNA, WV 26105-1722
Phone number: 937-570-0002