Organization
FRESH START HEALTH PSC
Active
Other names
Fresh Start Health Centers Grayson
Organization subpart
No
Provider details
NPI number
Authorized official
JERREL H BOYER (CEO/OWNER)
(606) 922-2895
Entity
Organization
Contact information
Practice address
207 N CAROL MALONE BLVD STE 3, GRAYSON, KY 41143-1566
(606) 225-8200
Mailing address
207 N CAROL MALONE BLVD STE 3, GRAYSON, KY 41143-1566
(606) 225-8200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
06/09/2023
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