Organization
VICEROY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CARMEN BEAUDOIN LVN (MANAGER)
(931) 326-4799
Entity
Organization
Contact information
Practice address
212 N. 2ND ST, STE 100, RICHMOND, KY 40475
(615) 763-5575
Mailing address
212 N. 2ND ST STE. 100, STE 100, RICHMOND, KY 40475
(615) 763-5575
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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