| NPI | 1518515204 |
|---|---|
| Former Legal Business Name | HS HEALTH SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID HEREDIA SIERRA President/Owner 502-519-8045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |