| NPI | 1578138046 |
|---|---|
| Other Name | LOWER LIGHTS JORDAN'S CROSSING |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ARMSTRONG Billing Director 614-274-1455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |