# ENCLAVE FAMILY HEALTHCARE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720215767
- **Authorized official:** DR. MICHAEL W JONES D.O., M.B.A. (OWNER/PHYSICIAN)
- **Authorized official phone:** (370) 314-4394

## Contact information

- **Practice address:** 3500 VILLA PT, SUITE 110, OWENSBORO, KY 42303-7825
- **Practice address phone:** (270) 685-3722
- **Practice address fax:** (270) 777-9283
- **Mailing address:** 3500 VILLA PT, SUITE 110, OWENSBORO, KY 42303-7825
- **Mailing address phone:** (270) 685-3722
- **Mailing address fax:** (270) 777-9283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | KY | — |
| 207Q00000X | Family Medicine Physician | 017076 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 12/30/2014