| NPI | 1952586075 |
|---|---|
| Doing Business As | HEALTHSOURCE OF SOUTH TOLEDO |
| Entity Type | Organization |
| Authorized Contact | ROBERT E. RILEY Associate 419-720-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OH 2743) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-12-08 |