| NPI | 1407125503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDILLAHI ARRALEH Owner 614-471-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 2028364) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2016-08-22 |