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Organization
SWIS PURCHASE, LLC
Active
Organization
SWIS PURCHASE, LLC
Active
Other names
Purchase Youth Village
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TREXLER (HUMAN RESOURCE DIRECTO)
(270) 252-7400
Entity
Organization
Contact information
Practice address
473 OLD SYMSONIA RD, BENTON, KY 42025-5044
(270) 252-7400
Mailing address
PO BOX 340, ELIZABETHTOWN, KY 42702-0340
(270) 252-7400
(270) 252-7419
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
02/20/2017
Last updated
10/13/2020
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