Organization
INTRINZIK HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA M LEBLANC (OWNER/ED)
(502) 376-4684
Entity
Organization
Contact information
Practice address
620 CHIEFTAIN DR, FAIRDALE, KY 40118-9678
(502) 376-4684
Mailing address
620 CHIEFTAIN DR, FAIRDALE, KY 40118-9678
(502) 376-4684
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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