| NPI | 1871953174 |
|---|---|
| Doing Business As | AVITA MARION |
| Entity Type | Organization |
| Authorized Contact | ANNA MARLOW Health Services Manager 419-462-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-03-01 |