| NPI | 1316140684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY KONDOLIOS Secretary 330-372-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 35073301-k) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-08-22 |