| NPI | 1902549686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN DAVID ALLEN Sole Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |