Boss Recovery Services | |
2600 W Broadway Ste 318 Louisville KY 40211-1366 | |
(440) 444-8302 | |
Not Available |
Full Name | Boss Recovery Services |
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Speciality | Clinic/center - Multi-specialty |
Location | 2600 W Broadway Ste 318, Louisville, Kentucky |
Authorized Official Name and Position | Nasira Mah-jabeen (CREDENTIALING AGENT) |
Authorized Official Contact | 1502579017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boss Recovery Services 2600 W Broadway Ste 318 Louisville KY 40211-1366 Ph: () - | Boss Recovery Services 2600 W Broadway Ste 318 Louisville KY 40211-1366 Ph: (440) 444-8302 |
NPI Number | 1730968173 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 09/25/2023 |
Identifier | Type | State | Issuer |
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1730968173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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