Organization
PERSONAL GERI-CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISSAN FRIEDMAN (CHIEF EXECUTIVE OFFICER)
(845) 521-9991
Entity
Organization
Contact information
Practice address
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718-8709
(270) 465-8133
(270) 789-1543
Mailing address
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718-8709
(270) 465-8133
(270) 789-1543
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
01/15/2026
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