| NPI | 1275911992 |
|---|---|
| Other Name | WOODLANDS OF EASTLAND |
| Entity Type | Organization |
| Authorized Contact | RICHARD M OSBORNE Managing Member 216-219-0290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 2072R) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |