| NPI | 1780698506 |
|---|---|
| Other Name | PARK DUVALLE AT NEWBURG |
| Entity Type | Organization |
| Authorized Contact | SWANNIE JETT CEO 502-774-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700005) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-11-11 |