| NPI | 1295274447 |
|---|---|
| Former Legal Business Name | JOYCE BURNETT |
| Entity Type | Organization |
| Authorized Contact | JOYCE BURNETT Hha 216-278-5955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 302R00000X) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: OH 302F00000X) |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service (Licence: OH 305S00000X) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |