Organization
FAMILY BUSINESS LLC
Active
Other names
Renewed You Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN EUGENE SPERRY (ADMINISTRATOR/OWNER)
(606) 663-0333
Entity
Organization
Contact information
Practice address
225 WASHINGTON ST, STANTON, KY 40380-3014
(606) 663-0333
Mailing address
225 WASHINGTON ST, STANTON, KY 40380-3014
(606) 663-0333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
740305
KY
Other
Enumeration date
09/11/2014
Last updated
12/09/2014
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