| NPI | 1548224785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY LEE RIDER President 216-382-9547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN092715) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |