Primetime Intervention

NPI #1205284924 in Jenkins, Kentucky

Provider Information

NPI Number: 1205284924
Entity Type: Organization
Organization Name: Primetime Intervention
Primary Specialty: Contractor
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 20 ROYAL MELBOURNE LN
City: Jenkins
State: Kentucky
ZIP Code: 41537-7512
Phone: (606) 634-1471

Authorized Official

Name: MRS. MELENA OUTLAW
Title: OWNER
Phone: (606) 634-1471

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