| 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 |