Organization
MONROE MEDICAL FOUNDATION INC
Active
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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