Organization
ADVANTAGE HEALTH CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ROGERS RN (MANAGER)
(502) 648-4961
Entity
Organization
Contact information
Practice address
1711 DESTINY LN STE 112, BOWLING GREEN, KY 42104-1067
(502) 648-4961
(800) 214-6418
Mailing address
1711 DESTINY LN STE 112, BOWLING GREEN, KY 42104-1067
(502) 648-4961
(800) 214-6418
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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