# KENTUCKY RIVER COMMUNITY CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023299062
- **Authorized official:** MARCIA ADAMS (CFO)
- **Authorized official phone:** (606) 666-4351

## Contact information

- **Practice address:** 115 ROCKWOOD LN, HAZARD, KY 41701-9415
- **Practice address phone:** (606) 436-5761
- **Practice address fax:** (606) 436-5797
- **Mailing address:** 115 ROCKWOOD LN, HAZARD, KY 41701-9415
- **Mailing address phone:** (606) 436-5761
- **Mailing address fax:** (606) 436-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 09/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 28012011 | — | KY |