| NPI | 1841630654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN WILLIAMSON Ap RN 606-485-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900286) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2015-03-03 |