| NPI | 1962939066 |
|---|---|
| Doing Business As | JOINT REPLACEMENT PROGRAM OF BLANCHARD VALLEY |
| Entity Type | Organization |
| Authorized Contact | DAVID CYTLAK Chief Financial Officer 419-423-5204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |