Primetime Intervention

Contractor · Jenkins, KY

Organization Active NPI

NPI number 1205284924

Practice location

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

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NPI record

NPI
1205284924
Entity type
Organization (Type 2)
Enumeration date
June 3, 2016
Last updated
June 3, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

Authorized official

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

About Primetime Intervention

Primetime Intervention is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 20 Royal Melbourne Ln, Jenkins, KY 41537-7512. The NPI number 1205284924 was assigned on June 3, 2016 and the record was last updated on June 3, 2016.

The authorized official for this organization is Mrs. Melena Outlaw, Owner.

Frequently asked questions

What is the NPI number of Primetime Intervention?

The NPI number is 1205284924.

What is the phone number of Primetime Intervention?

The phone number listed for the practice location is (606) 634-1471.

Where is Primetime Intervention located?

20 Royal Melbourne Ln, Jenkins, KY 41537-7512.

What is the taxonomy code for Primetime Intervention?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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