NPI | 1710775937 |
---|---|
Doing Business As | HEALTHSOURCE WARDS CORNER |
Entity Type | Organization |
Authorized Contact | JOSEPH W PRATHER CEO 513-707-4041 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-04-28 |