| NPI | 1982834263 |
|---|---|
| Other Name | MIDWEST HEALTH SERVICES HOME 1 |
| Entity Type | Organization |
| Authorized Contact | JOSPEH KNETZER Owner 330-832-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 3810031) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2012-02-14 |