| NPI | 1184182180 |
|---|---|
| Doing Business As | HOMEPLACE CLINIC PAINTSVILLE |
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing 606-886-8572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-11 |