| Ray Of Hope Recoveries Inc | |
|
1158 Lexington Rd Georgetown KY 40324-9330 | |
| (502) 863-2277 | |
| (502) 863-6334 |
| Full Name | Ray Of Hope Recoveries Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1158 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Cedric Craig (PRESIDENT) |
| Authorized Official Contact | 8596087839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Of Hope Recoveries Inc 237 Quail Run Drive Georgetown KY 40324 Ph: (859) 608-7839 | Ray Of Hope Recoveries Inc 1158 Lexington Rd Georgetown KY 40324-9330 Ph: (502) 863-2277 |
| NPI Number | 1518422047 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 0648504647 |
|---|---|
| Medicare Enrollment ID | O20190625002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518422047 | NPI | - | NPPES |
| 7100607940 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Cedric Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247525 PECOS PAC ID: 2668509654 Enrollment ID: I20100422000984 |
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