| Freedom Bridge To Recovery Multicare Llc | |
|
1711 Destiny Ln Bowling Green KY 42104-1066 | |
| (270) 791-9943 | |
| (270) 904-2377 |
| Full Name | Freedom Bridge To Recovery Multicare Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1711 Destiny Ln, Bowling Green, Kentucky |
| Authorized Official Name and Position | Barry Hardison (MEMBER) |
| Authorized Official Contact | 2705431766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Bridge To Recovery Multicare Llc 1711 Destiny Ln Bowling Green KY 42104-1066 Ph: (270) 791-9943 | Freedom Bridge To Recovery Multicare Llc 1711 Destiny Ln Bowling Green KY 42104-1066 Ph: (270) 791-9943 |
| NPI Number | 1881252534 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881252534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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