| NPI | 1356725485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORY OKORIE Executive Director 614-419-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 041404508) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |