Assuredlink Case Management Agency | |
1990 Louisville Rd 101 Bowling Green KY 42101-1202 | |
(270) 599-0212 | |
Not Available |
Full Name | Assuredlink Case Management Agency |
---|---|
Speciality | Private Vehicle |
Location | 1990 Louisville Rd, Bowling Green, Kentucky |
Authorized Official Name and Position | Demetrius Depp King (OWNER/ EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2703034669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Assuredlink Case Management Agency 1990 Louisville Rd 101 Bowling Green KY 42101-1202 Ph: (270) 599-0212 | Assuredlink Case Management Agency 1990 Louisville Rd 101 Bowling Green KY 42101-1202 Ph: (270) 599-0212 |
NPI Number | 1205267671 |
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Provider Enumeration Date | 12/10/2013 |
Last Update Date | 03/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205267671 | NPI | - | NPPES |
7100224880 | Medicaid | KY | |
7100438780 | Medicaid | KY | |
7100347620 | Medicaid | KY |
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