Graduated: 2021
NPI: 1508489733
Practice Locations (2)
HEALTHSOURCE OF OHIO INC
140 W MAIN ST
WILMINGTON, OH 451772239
9374812930
CABIN CREEK HEALTH CENTER INC
107 KOONTZ AVE, SUITE 200
CLENDENIN, WV 250459581
3045487272
Source: CMS National Downloadable File, September 2026.