Organization
BEHAVIORAL SUPPORT & NURSING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TYLER WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
1600 NE LOOP 410 STE 105, SAN ANTONIO, TX 78209-1612
(210) 246-2334
Mailing address
800 N WHITTINGTON PKWY, SUITE 400, LOUISVILLE, KY 40222
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
10/27/2020
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