Federal Correctional Insitution
NPI #1720459282 in Manchester, Kentucky
Provider Information
- NPI Number
- 1720459282
- Entity Type
- Organization
- Organization Name
- Federal Correctional Insitution
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Oct 9, 2015
- Last Updated
- Oct 9, 2015
Practice Location
- Address
- 805 FOX HOLLOW RD
- City
- Manchester
- State
- Kentucky
- ZIP Code
- 40962-7923
- Phone
- (606) 598-1900
Authorized Official
- Name
- ANGEL WILSON, HSA
- Title
- HEALTH SERVICES ADMINISTRATOR
- Phone
- (606) 598-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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