| NPI | 1548417686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA E MCMURRAY Practice Manager 419-517-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH NM05428) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |