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Organization
CLOSE TO HOME LLC.
Active
Organization
CLOSE TO HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE J ROGERS (ACCTS MGR/OWNER)
(859) 983-8729
Entity
Organization
Contact information
Practice address
1795 ALYSHEBA WAY STE 1103, LEXINGTON, KY 40509-2282
(859) 983-8729
(859) 259-2012
Mailing address
1795 ALYSHEBA WAY STE 1103, LEXINGTON, KY 40509-2282
(859) 983-8729
(859) 259-2012
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
02/27/2007
Last updated
06/08/2016
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