Organization
MONROE MEDICAL FOUNDATION INC
Active
Other names
Monroe County Medical Center Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKIE F BROWN (CHIEF FINANCIAL OFFICER)
(270) 487-9231
Entity
Organization
Contact information
Practice address
417 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
(270) 487-5784
Mailing address
529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
(270) 487-5784
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4300038900
—
KY
Enumeration date
05/11/2007
Last updated
08/22/2020
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