| Name | PROVIDENCE MEDICAL GROUP | 
|---|---|
| Street | 2912 SPRINGBORO WEST SUITE 201 | 
| City | DAYTON | 
| Zip | OH 45439 | 
| Status | Active | 
| Effective date | 2008-07-15T00:00:00+02:00 | 
| Company | ENDURING YOUTH | 
|---|---|
| Entity Number | 1793814 | 
| Company | PROVIDENCE PODIATRY | 
|---|---|
| Entity Number | 2300731 | 
| Company | PROVIDENCE PHYSICAL THERAPY | 
|---|---|
| Entity Number | 2320218 | 
| Company | GERMANTOWN FAMILY MEDICINE | 
|---|---|
| Entity Number | 2322983 |