NPI | 1346420668 |
---|---|
Former Legal Business Name | 6055 CLEVELAND AVENUE |
Entity Type | Organization |
Authorized Contact | FEYISAYO OLUWATOSIN TOLANI RN/Office Manager 614-315-1836 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35084618) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2014-01-22 |