| NPI | 1851083836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMEGA SAVAGE Provider/Owner 502-905-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-31 |