Provider Demographics
NPI:1598159477
Name:TURBOQUISINE
Entity Type:Organization
Organization Name:TURBOQUISINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:502-267-9995
Mailing Address - Street 1:11840 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2309
Mailing Address - Country:US
Mailing Address - Phone:502-267-9995
Mailing Address - Fax:502-708-2639
Practice Address - Street 1:11840 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2309
Practice Address - Country:US
Practice Address - Phone:502-267-9995
Practice Address - Fax:502-708-2639
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDHOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-27
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals