| NPI | 1467819326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KIETH LOMAS Founder 419-330-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 141666) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |