| NPI | 1518855105 |
|---|---|
| Doing Business As | HOMEPLACE CLINIC HAZARD TRP |
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing Manager 606-886-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-10-03 |