| NPI | 1538457965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PARTIN Owner 270-384-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900270) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-07-19 |