Purchase Area Support Services Llc | |
5824 Oak Level Rd Benton KY 42025-5269 | |
(270) 205-0141 | |
Not Available |
Full Name | Purchase Area Support Services Llc |
---|---|
Speciality | Counselor - Professional |
Location | 5824 Oak Level Rd, Benton, Kentucky |
Authorized Official Name and Position | Karen Diane Reed (OWNER) |
Authorized Official Contact | 2702050141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purchase Area Support Services Llc 5824 Oak Level Rd Benton KY 42025-5269 Ph: (270) 205-0141 | Purchase Area Support Services Llc 5824 Oak Level Rd Benton KY 42025-5269 Ph: (270) 205-0141 |
NPI Number | 1225381601 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 10/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225381601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0522 (Kentucky) | Primary |
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