| NPI | 1902157068 |
|---|---|
| Doing Business As | JJHJKM |
| Entity Type | Organization |
| Authorized Contact | TYHNGN HJH VHB CEO 216-789-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2022-07-21 |