| Assuredlink Case Management Agency | |
|
1990 Louisville Rd 101 Bowling Green KY 42101-1202 | |
| (270) 599-0212 | |
| Not Available |
| Full Name | Assuredlink Case Management Agency |
|---|---|
| Speciality | Private Vehicle |
| Location | 1990 Louisville Rd, Bowling Green, Kentucky |
| Authorized Official Name and Position | Demetrius Depp King (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2703034669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assuredlink Case Management Agency 1990 Louisville Rd 101 Bowling Green KY 42101-1202 Ph: (270) 599-0212 | Assuredlink Case Management Agency 1990 Louisville Rd 101 Bowling Green KY 42101-1202 Ph: (270) 599-0212 |
| NPI Number | 1205267671 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205267671 | NPI | - | NPPES |
| 7100224880 | Medicaid | KY | |
| 7100438780 | Medicaid | KY | |
| 7100347620 | Medicaid | KY |
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