BENJAMINE SUPERNOVA

Case Manager/Care Coordinator

NPI: 1770284036Individual

Specialties, Licenses & Credentials

Case Manager/Care CoordinatorPrimary

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address: 213 MIDLAND BLVD
SHELBYVILLE, KY 40065
Phone: (502) 647-0154

Quick Facts

NPI: 1770284036
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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