| NPI | 1528373024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN LAMATRICE Agent 216-518-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 1950530) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |