Organization
NR, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLA P ELLISON (BILLING COORDINATOR)
(859) 259-9687
Entity
Organization
Contact information
Practice address
101 VENTURE CT, SUITE B1, LEXINGTON, KY 40511-2615
(859) 259-9687
(859) 721-8227
Mailing address
101 VENTURE CT, SUITE B1, LEXINGTON, KY 40511-2615
(859) 259-9687
(859) 721-8227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
720205
KY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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