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Organization
KENTUCKY RIVER AREA DEV DIST
Active
Organization
KENTUCKY RIVER AREA DEV DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L. ALLEN (FINANCE OFFICER)
(606) 436-3158
Entity
Organization
Contact information
Practice address
917 PERRY PARK ROAD, HAZARD, KY 41701
(606) 436-3158
(606) 436-2144
Mailing address
917 PERRY PARK RD., HAZARD, KY 41701
(606) 436-3158
(606) 436-3154
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
KY
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700083700
—
KY
05
—
3300146200
—
KY
05
—
4399612300
—
KY
Enumeration date
01/25/2007
Last updated
12/01/2010
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