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Organization
KENTUCKY RIVER COMMUNITY CARE, INC
Active
Organization
KENTUCKY RIVER COMMUNITY CARE, INC
Active
Other names
SCL
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ADAMS (CFO)
(606) 666-4351
Entity
Organization
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
03/19/2007
Last updated
09/19/2023
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