Organization
RN HOME INFUSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA CANTRELL RN (OWNER/EMPLOYEE)
(270) 556-2273
Entity
Organization
Contact information
Practice address
209 PROVIDENCE HILL DR APT 111, ASHLAND, KY 41101-2292
(270) 556-2273
Mailing address
PO BOX 236, ASHLAND, KY 41105-0236
(270) 556-2273
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167713831
CBI
KY
Enumeration date
03/02/2021
Last updated
03/02/2021
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