| NPI | 1689291577 |
|---|---|
| Doing Business As | OHMCH LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2022-12-28 |