Organization
PROMISE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK GENE HAMMOND (CHIEF EXECUTIVE MANAGER)
(866) 439-3465
Entity
Organization
Contact information
Practice address
207 16TH ST, SUITE 404, ASHLAND, KY 41101-7909
(866) 439-3465
(866) 731-7460
Mailing address
207 16TH ST, SUITE 404, ASHLAND, KY 41101-7909
(866) 439-3465
(866) 731-7460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004560
—
KY
Enumeration date
04/25/2007
Last updated
10/18/2007
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