| NPI | 1821326273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA KIANGA MADDOX Dr. Maddox 513-376-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 3869) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: KY 5095) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2024-10-28 |