| NPI | 1760854855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESE E WILLIAMS Licensen Practical Nurse 614-866-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 147192) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |