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Organization
ISAIAH HOUSE INC
Active
Organization
ISAIAH HOUSE INC
Active
Other names
Versailles Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE KOEHL (VP)
(317) 755-7433
Entity
Organization
Contact information
Practice address
4185 LEXINGTON RD, VERSAILLES, KY 40383-1736
(859) 275-9200
Mailing address
4185 LEXINGTON RD, VERSAILLES, KY 40383-1736
(859) 275-9200
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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