| NPI | 1396952685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L.T. NICHOLS Vice President 614-760-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH RN.262281) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |