NPI | 1477136778 |
---|---|
Doing Business As | LIFESOURCE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TIMOTHY LOUIS VIERHELLER Partner 419-961-5110 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2021-05-04 |
Last Update Date | 2021-05-04 |