| NPI | 1710222476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL E BEAINI Owner 614-282-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 2009035935) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |