| NPI | 1730597261 |
|---|---|
| Doing Business As | MICHELLE ROBINSON |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE ROBINSON Cna 740-816-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 374u00000x) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |