| NPI | 1578811774 |
|---|---|
| Doing Business As | HOMEPLACE CLINIC PAINTSVILLE |
| Doing Business As | HOMEPLACE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PROMOD BISHNOI Executive Director 606-886-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700264) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2018-11-15 |