Christian Care At Home - Pennyroyal, Limited

NPI 1124375092 - Case Management - 251B00000X

NPI Details
NPI 1124375092
Enumeration Date 08/10/2012
Last Updated 09/17/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KEITH R. KEITH
Position CHIEF EXECUTIVE OFFICER
Phone (270) 298-3112
Fax (270) 298-4766
Practice Location
122 W UNION ST
HARTFORD KY, 42347-1416, US
Phone (270) 298-3112
Fax (270) 298-4766
Business Location
12710 TOWNEPARK WAY
SUITE 1000
LOUISVILLE KY, 40243-2534, US
Phone (502) 254-4200
Fax (502) 254-4209
Toxanomy
Taxonomy Code 251B00000X
License State Kentucky
License Number 150138
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According to our database, Christian Care At Home - Pennyroyal, Limited NPI is 1124375092, taxonomy code is 251B00000X and license number is 150138, license state is located at Kentucky. Christian Care At Home - Pennyroyal, Limited physically located at 122 W Union St, Hartford KY, 42347-1416. NPI Number 1033115704 has the healthcare provider type.

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1124375092 NPI number is provided on an as is basis without warranty of any kind. 1124375092 is maintained by the National Plan & Provider Enumeration System. The contents of Christian Care At Home - Pennyroyal, Limited are for informational purposes only.