| NPI | 1922379734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S TUCKER Managing Member 812-989-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 3006536P) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: KY 3006536P) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-02-17 |