| Intrinzik Health Care Services | |
|
620 Chieftain Dr Fairdale KY 40118-9678 | |
| (502) 376-4684 | |
| Not Available |
| Full Name | Intrinzik Health Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 620 Chieftain Dr, Fairdale, Kentucky |
| Authorized Official Name and Position | Keisha M Leblanc (OWNER/ED) |
| Authorized Official Contact | 5023764684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrinzik Health Care Services 620 Chieftain Dr Fairdale KY 40118-9678 Ph: (502) 376-4684 | Intrinzik Health Care Services 620 Chieftain Dr Fairdale KY 40118-9678 Ph: (502) 376-4684 |
| NPI Number | 1255938411 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255938411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |