Organization
DELTA FLEX TRAVEL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RYAN BOZARTH OTR/L,OTD (OCCUPATIONAL THERAPIST)
(270) 349-1169
Entity
Organization
Contact information
Practice address
4305 HARMONY GROVE RD, HOPKINSVILLE, KY 42240-8626
(270) 348-1168
Mailing address
4305 HARMONY GROVE RD, HOOKINSVILLE, KY 42240
(270) 348-1168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
KY
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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