| NPI | 1407173461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA A EBAI Lpn 419-309-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn130986 IV) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |