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Organization

CARESOURCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA B. MORRIS (CEO)
(937) 531-2200
Entity
Organization

Contact information

Practice address
230 N MAIN ST, DAYTON, OH 45402-1263
(937) 531-2200
Mailing address
230 N MAIN ST, DAYTON, OH 45402-1263
(937) 531-2200

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OH

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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