| NPI | 1245588599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVINUS UMUNNA NWANKPA President 614-586-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH rg946692) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |