Tri-Generations LLC Central Ky
NPI #1770879058 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1770879058
- Entity Type
- Organization
- Organization Name
- Tri-Generations LLC Central Ky
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- 436 HOTCHKISS ST
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-1340
- Phone
- (270) 469-1236
Authorized Official
- Name
- KAREN GARDNER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (270) 469-1236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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