| Capernaum Care, Inc. | |
|
800 Main St Ste 17 Shelbyville KY 40065-1224 | |
| (502) 321-9587 | |
| Not Available |
| Full Name | Capernaum Care, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 800 Main St Ste 17, Shelbyville, Kentucky |
| Authorized Official Name and Position | Todd Claypool (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5023219587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capernaum Care, Inc. 800 Main St Ste 17 Shelbyville KY 40065-1224 Ph: (502) 321-9587 | Capernaum Care, Inc. 800 Main St Ste 17 Shelbyville KY 40065-1224 Ph: (502) 321-9587 |
| NPI Number | 1770356719 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770356719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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