NPI | 1285864751 |
---|---|
Other Name | MIDWEST HEALTH SERVICES HOME 2 |
Entity Type | Organization |
Authorized Contact | JOSPEH KNETZER Owner 330-832-9582 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 7610713) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2012-02-13 |