Healthcare Provider Details

I. General information

NPI: 1023079399
Provider Name (Legal Business Name): NET CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2897 BLACKLOG RD
INEZ KY
41224-9026
US

IV. Provider business mailing address

PO BOX 1736
INEZ KY
41224-1736
US

V. Phone/Fax

Practice location:
  • Phone: 606-298-0061
  • Fax:
Mailing address:
  • Phone: 606-298-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3009
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1639
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1675
License Number StateKY

VIII. Authorized Official

Name: MR. TERRY BRIAN FRALEY
Title or Position: DIRECTOR
Credential:
Phone: 606-298-0061