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Organization

FREEDOM BRIDGE TO RECOVERY MULTICARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY HARDISON MD (MEMBER)
(270) 543-1766
Entity
Organization

Contact information

Practice address
1711 DESTINY LN, BOWLING GREEN, KY 42104-1066
(270) 791-9943
(270) 904-2377
Mailing address
1711 DESTINY LN, BOWLING GREEN, KY 42104-1066
(270) 791-9943
(270) 904-2377

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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