| Tender Loving Care Of Yah Inc | |
|
802 Mason St Mayfield KY 42066-2830 | |
| (270) 804-0637 | |
| Not Available |
| Full Name | Tender Loving Care Of Yah Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 802 Mason St, Mayfield, Kentucky |
| Authorized Official Name and Position | Marquetta Johnson (PROVIDER) |
| Authorized Official Contact | 2708040637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Loving Care Of Yah Inc 802 Mason St Mayfield KY 42066-2830 Ph: (270) 804-0637 | Tender Loving Care Of Yah Inc 802 Mason St Mayfield KY 42066-2830 Ph: (270) 804-0637 |
| NPI Number | 1891406161 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891406161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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