| NPI | 1295516235 |
|---|---|
| Doing Business As | THE SERGEANT'S FISH & DONUT |
| Entity Type | Organization |
| Authorized Contact | JARVIS NELSON PEELE Secretary 502-910-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |