| Name | PROVIDENCE MEDICAL GROUP, INC |
|---|---|
| Street | 2912 SPRINGBORO WEST SUITE 201 |
| City | DAYTON |
| Zip | OH 45439 |
| Status | Active |
| Effective date | 2008-07-15T00:00:00+02:00 |
| Company | FAMILY HEALTH CENTER |
|---|---|
| Entity Number | 1793816 |
| Company | MEDWAY MEDICAL CLINIC |
|---|---|
| Entity Number | 1793820 |