NPI | 1902074339 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA MOROZOVA President 513-770-4322 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 1732462) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |