Modern Care LLC
NPI #1922527522 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1922527522
- Entity Type
- Organization
- Organization Name
- Modern Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 14, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 104 NANCY COX DR STE D
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-6835
- Phone
- (270) 465-8508
Authorized Official
- Name
- STACEY JEWELL
- Title
- PROGRAM DIRECTOR
- Phone
- (270) 465-8508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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