# SWIS PURCHASE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Purchase Youth Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659810810
- **Authorized official:** STEPHANIE TREXLER (HUMAN RESOURCE DIRECTO)
- **Authorized official phone:** (270) 252-7400

## Contact information

- **Practice address:** 473 OLD SYMSONIA RD, BENTON, KY 42025-5044
- **Practice address phone:** (270) 252-7400
- **Mailing address:** PO BOX 340, ELIZABETHTOWN, KY 42702-0340
- **Mailing address phone:** (270) 252-7400
- **Mailing address fax:** (270) 252-7419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | KY | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 10/13/2020