Mystyk River Retreat Center, Llc in Carrollton - Specialist
Mystyk River Retreat Center, Llc - NPI 1629236070
Mystyk River Retreat Center, Llc is a Specialist in Carrollton, Kentucky. Mystyk River Retreat Center, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mystyk River Retreat Center, Llc is 1629236070. The last update date is 2008-06-01.
Mystyk River Retreat Center, Llc's current location address is 1732 Kingsridge Rd, Carrollton, Kentucky. You can contact this provider via phone number 5027329938 and fax number 5027329938. The mailing address for Mystyk River Retreat Center, Llc is 1732 Kingsridge Rd, Carrollton, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mystyk River Retreat Center, Llc |
|---|---|
| Address | 1732 Kingsridge Rd, Carrollton, Kentucky |
| Phone Number | 5027329938 |
| Fax Number | 5027329938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER/CO |
|---|---|
| Authorized Official Name | Worthington Eleanor Garnet |
| Credentials | LMT |
| Telephone Number | 5027329938 |
NPI Number Detail
| NPI Number | 1629236070 |
|---|---|
| Provider Enumeration Date | 2008-06-01 |
| Last Updated Date | 2008-06-01 |
Provider Mailing Address Detail
| Address | 1732 Kingsridge Rd |
|---|---|
| City | Carrollton |
| State | Kentucky (KY) |
| Post Code | 410088655 |
| Phone Number | 5027329938 |
| Fax Number | 5027329938 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Mystyk River Retreat Center, Llc's unique identification number?
The Mystyk River Retreat Center, Llc has been assigned the NPI (National Provider Identifier) Number 1629236070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mystyk River Retreat Center, Llc is located?
The Mystyk River Retreat Center, Llc is situated at the following address: 1732 Kingsridge Rd, Carrollton, KY, 410088655.
What is Mystyk River Retreat Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mystyk River Retreat Center, Llc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Mystyk River Retreat Center, Llc receive its 1629236070 assignment?
The Mystyk River Retreat Center, Llc was assigned its 1629236070 on 2008-06-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mystyk River Retreat Center, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mystyk River Retreat Center, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-01.
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