NPI 1205284924

Primetime Intervention

Organisation Contractor Jenkins, KY

Practice location

Address: 20 Royal Melbourne Ln, Jenkins, KY 41537-7512
Phone: (606) 634-1471
Fax: (606) 832-0397

Authorised official

Name: Melena Outlaw
Title: Owner
Phone: (606) 634-1471

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Kentucky →

Registry record

NPI: 1205284924
Entity type: Organization
NPI issued: 3 Jun 2016
Record last updated: 3 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.