PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

LOUISVILLE, KY
NPI1275203028
Doing Business AsPREMISE HEALTH WELLNESS CENTER - LOUISVILLE
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-09-14
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
10000 BROWNSBORO RD STE 7
LOUISVILLE, KY 40241-3900
Phone number: 502-272-0330
Mailing Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
5500 MARYLAND WAY
BRENTWOOD, TN 37027-7048
Phone number: