GRANT COUNTY WELLNESS CENTER LLC; NPI #1164713103

Contact Information

GRANT COUNTY WELLNESS CENTER LLC

99 S. MAIN ST.
DRY RIDGE, KY 41035

Phone: 859-325-5655
Fax: 859-823-0530
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain	261QP3300X
Anesthesiology	207L00000X	79	Physician/Addiction Medicine

Indicates primary specialty

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NPI Profile & details for GRANT COUNTY WELLNESS CENTER LLC

NPI # 1164713103

LBN Legal business name GRANT COUNTY WELLNESS CENTER LLC

Authorized official ERNEST SINGLETON - (R.N./C.O.O.)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/25/2011

Last updated 09/14/2011 - About 15 years ago

Identifiers

	License #	26944
KY	License #	0788501.06
KY	Other	208VP0000X	TAXONOMY

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRANT COUNTY WELLNESS CENTER LLC

Contact Information

Specialty

Pain

Anesthesiology

NPI Profile & details for GRANT COUNTY WELLNESS CENTER LLC

Reviews for GRANT COUNTY WELLNESS CENTER LLC