# APPALACHIAN COMMUNITY SUPPORTS, LLC

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

## Provider details

- **NPI number:** 1528569498
- **Authorized official:** MRS. CHARLENE COCHRAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (606) 424-3683

## Contact information

- **Practice address:** 52 WANDA LN, PIKEVILLE, KY 41501-8061
- **Practice address phone:** (606) 424-3683
- **Mailing address:** 52 WANDA LN, PIKEVILLE, KY 41501-8061
- **Mailing address phone:** (606) 424-3683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2018
- **Last updated:** 02/26/2018
