Organization
MH REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HUNTER (OWNER)
(859) 277-1144
Entity
Organization
Contact information
Practice address
238 E LOWRY LANE, LEXINGTON, KY 40503
(859) 277-1144
Mailing address
238 E LOWRY LANE, LEXINGTON, KY 40503
(859) 277-1144
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45000031
—
KY
05
—
90000290
—
KY
Enumeration date
11/02/2007
Last updated
11/02/2007
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