| NPI | 1518216126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINOVIY EDUARDOVICH SHAPIRO Owner 440-461-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 201222601077) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-10-04 |