| NPI | 1629452750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RENEE BONHAM Nurse Practitioner 330-990-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: OH COA.17341-NP) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |