| NPI | 1689676850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL AARON Manager Member 270-384-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900046) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-02-25 |