Genesis Eldercare Physician Services Inc

NPI 1033535828 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1033535828
Enumeration Date 03/17/2014
Last Updated 01/30/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ERIC ERIC
Position SR DIRECTOR OF FINANCE
Phone (410) 543-1957
Fax
Practice Location
16605 CHESTNUT GLEN PL
LOUISVILLE KY, 40245-6121, US
Phone (410) 543-1957
Fax
Business Location
PO BOX 42738
TOWSON MD, 21284-2738, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Kentucky
License Number 0858289.09
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According to our database, Genesis Eldercare Physician Services Inc NPI is 1033535828, taxonomy code is 363LA2200X and license number is 0858289.09, license state is located at Kentucky. Genesis Eldercare Physician Services Inc physically located at 16605 Chestnut Glen Pl, Louisville KY, 40245-6121. NPI Number 1033115704 has the healthcare provider type.

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1033535828 NPI number is provided on an as is basis without warranty of any kind. 1033535828 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Eldercare Physician Services Inc are for informational purposes only.