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Organization
PREMIER THERAPY CARE
Active
Organization
PREMIER THERAPY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CLARK (MANAGING MEMBER)
(859) 940-6613
Entity
Organization
Contact information
Practice address
330 EASTERN BYP, SUITE 145, RICHMOND, KY 40475-2562
(859) 940-6613
Mailing address
330 EASTERN BYP, SUITE 145, RICHMOND, KY 40475-2562
(859) 940-6613
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
08/16/2012
Last updated
12/13/2012
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