NPI | 1821690777 |
---|---|
Doing Business As | NANCY FAMILY CARE |
Entity Type | Organization |
Authorized Contact | LOGAN ROY ANTLE CEO 606-425-5768 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-11-14 |
Last Update Date | 2023-12-07 |