| NPI | 1740608306 |
|---|---|
| Other Name | SOUTHWEST HOUSE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | KELLY LINSON VP/CFO 440-816-8071 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-05-22 |