Organization
DIXIE INFUSION CLINIC, LLC
Active
Other names
Vital Care Infusion Clinic - Radcliff
Organization subpart
No
Provider details
NPI number
Authorized official
NAVAS YOONUS (OWNER)
(615) 525-3142
Entity
Organization
Contact information
Practice address
650 W LINCOLN TRAIL BLVD STE 102, RADCLIFF, KY 40160-2681
(270) 506-2463
Mailing address
650 W LINCOLN TRAIL BLVD STE 102, RADCLIFF, KY 40160-2681
(270) 506-2463
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K045392
MEDICARE PART B
—
Enumeration date
07/12/2018
Last updated
09/23/2022
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