Organization
MCKENZIE HEALTHCARE, LLC
Active
Organization
MCKENZIE HEALTHCARE, LLC
Active
Other names
J J Jordan Geriatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. MCKENZIE MBA, CPA (ADMINISTRATOR)
(606) 638-4170
Entity
Organization
Contact information
Practice address
270 E CLAYTON LN, LOUISA, KY 41230-8622
(606) 638-4170
(606) 638-0367
Mailing address
270 E CLAYTON LN, LOUISA, KY 41230-8622
(606) 638-4170
(606) 638-0367
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
90050642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90050642
—
KY
Enumeration date
03/01/2007
Last updated
08/22/2020
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