S.p.a.r.c. | |
50 Luda St Russell Springs KY 42642-4512 | |
(270) 858-5377 | |
Not Available |
Full Name | S.p.a.r.c. |
---|---|
Speciality | Community/behavioral Health |
Location | 50 Luda St, Russell Springs, Kentucky |
Authorized Official Name and Position | Alexander Williams (C.E.O.) |
Authorized Official Contact | 5026812490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S.p.a.r.c. Po Box 571 Russell Springs KY 42642-0571 Ph: (502) 681-2490 | S.p.a.r.c. 50 Luda St Russell Springs KY 42642-4512 Ph: (270) 858-5377 |
NPI Number | 1790447274 |
---|---|
Provider Enumeration Date | 10/12/2021 |
Last Update Date | 10/15/2021 |
Certification Date | 10/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790447274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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