| Purchase Area Support Services Llc | |
|
5824 Oak Level Rd Benton KY 42025-5269 | |
| (270) 205-0141 | |
| Not Available |
| Full Name | Purchase Area Support Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5824 Oak Level Rd, Benton, Kentucky |
| Authorized Official Name and Position | Karen Diane Reed (OWNER) |
| Authorized Official Contact | 2702050141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purchase Area Support Services Llc 5824 Oak Level Rd Benton KY 42025-5269 Ph: (270) 205-0141 | Purchase Area Support Services Llc 5824 Oak Level Rd Benton KY 42025-5269 Ph: (270) 205-0141 |
| NPI Number | 1225381601 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225381601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0522 (Kentucky) | Primary |
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