Central Kentucky Supportive Living, INC

NPI #1437317203 in Owingsville, Kentucky

Provider Information

NPI Number
1437317203
Entity Type
Organization
Organization Name
Central Kentucky Supportive Living, INC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 29, 2008
Last Updated
May 29, 2008

Practice Location

Address
650 PEELED OAK RD
ZIP Code
40360-8047
Phone
(606) 674-6962

Authorized Official

Name
MS. CONNIE C CLARK
Title
CONTROLLER
Phone
(606) 674-6962

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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