Organization
HANDSBATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D. BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization
Contact information
Practice address
68 OBERLINE ST., OWINGSVILLE, KY 40360
(606) 674-8716
Mailing address
P.O. BOX 555, OWINGSVILLE, KY 40360
(606) 674-6396
(606) 674-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15001084
—
KY
Enumeration date
04/14/2011
Last updated
04/14/2011
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