PROVIDIAN

MORAINE, OH
NPI1750517793
Entity TypeOrganization
Authorized ContactSHONDALE NICOLE ATKINSON
C.E.O.
937-603-6643
Organization Subpart ?Yes
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2009-06-04
Last Update Date2009-06-04
Business Address
PROVIDIAN
2844 E RIVER RD
MORAINE, OH 45439-1538
Phone number: 937-603-6643
Mailing Address
PROVIDIAN
402 KATY LN
ENGLEWOOD, OH 45322-2302
Phone number: 937-603-6643