NPI | 1487953105 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE PRICE Owner 330-858-4912 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 3062493) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2011-03-21 |