| Embrace Hope Recovery Center | |
|
1000 E John Rowan Blvd Ste 107 Bardstown KY 40004-2060 | |
| (502) 331-6002 | |
| (502) 331-6122 |
| Full Name | Embrace Hope Recovery Center |
|---|---|
| Speciality | Counselor |
| Location | 1000 E John Rowan Blvd Ste 107, Bardstown, Kentucky |
| Authorized Official Name and Position | Cindy Ballard (MEMBER) |
| Authorized Official Contact | 5025109777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Hope Recovery Center 1000 E John Rowan Blvd Ste 107 Bardstown KY 40004-2060 Ph: () - | Embrace Hope Recovery Center 1000 E John Rowan Blvd Ste 107 Bardstown KY 40004-2060 Ph: (502) 331-6002 |
| NPI Number | 1093255440 |
|---|---|
| Provider Enumeration Date | 03/05/2017 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 3577919737 |
|---|---|
| Medicare Enrollment ID | O20231024001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093255440 | NPI | - | NPPES |
| 7100506420 | Medicaid | KY |
| Provider Name | Shelley Maria Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255950523 PECOS PAC ID: 5890153589 Enrollment ID: I20230628002101 |
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