| |
111 W Bellville St Marion KY 42064-1301 | |
(270) 704-3599 | |
Not Available |
Full Name | |
---|---|
Speciality | Counselor |
Location | 111 W Bellville St, Marion, Kentucky |
Authorized Official Name and Position | Hazel Joseph (EMPLOYEE) |
Authorized Official Contact | 2707043599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 757 Elizabethtown KY 42702-0757 Ph: (270) 704-3599 | 111 W Bellville St Marion KY 42064-1301 Ph: (270) 704-3599 |
NPI Number | 1205291002 |
---|---|
Provider Enumeration Date | 12/21/2015 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205291002 | NPI | - | NPPES |