| NPI | 1598973208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L MULDER Lpn 419-261-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH pn068879) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-08-08 |