Primary Care @ Home, Llc

NPI 1003137605 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003137605
Enumeration Date 06/17/2010
Last Updated 12/03/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DAVID C DAVID
Position CEO
Phone (270) 763-0030
Fax (270) 763-0050
Practice Location
1105 JULIANNA CT
SUITE 1
ELIZABETHTOWN KY, 42701-7937, US
Phone (270) 763-0030
Fax (270) 763-0050
Business Location
1105 JULIANNA CT
SUITE 1
ELIZABETHTOWN KY, 42701-7937, US
Phone (270) 763-0030
Fax (270) 763-0050
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Primary Care @ Home, Llc NPI is 1003137605, taxonomy code is 363L00000X Primary Care @ Home, Llc physically located at 1105 Julianna Ct, Elizabethtown KY, 42701-7937. NPI Number 1033115704 has the healthcare provider type.

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1003137605 NPI number is provided on an as is basis without warranty of any kind. 1003137605 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care @ Home, Llc are for informational purposes only.