Commonwealth of Kentucky

NPI #1770762833 in Thelma, Kentucky

Provider Information

NPI Number
1770762833
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Oct 25, 2007
Last Updated
Jun 30, 2010

Practice Location

Address
5659 MAIN ST
City
Thelma
ZIP Code
41260-8609
Phone
(606) 788-6600

Authorized Official

Name
MRS. GAYLENE MORROW
Title
BILLING CLERK
Phone
(606) 788-6600

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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