NPI | 1578793782 |
---|---|
Other Name | MIDWEST HEALTH SERVICES HOME 3 |
Entity Type | Organization |
Authorized Contact | JOSEPH KNETZER Owner 330-832-9582 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 7610740) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2012-02-14 |