# GILLEY ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Mountain Family and Support Servcies, Eastern Mountain Family & Support Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831962091
- **Authorized official:** MR. SHAWN A GILLEY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (606) 821-6252

## Contact information

- **Practice address:** 2381 HIGHWAY 7 S, JEREMIAH, KY 41826-9081
- **Practice address phone:** (606) 633-8058
- **Practice address fax:** (606) 633-2414
- **Mailing address:** PO BOX 82, JEREMIAH, KY 41826-0082
- **Mailing address phone:** (606) 633-8058
- **Mailing address fax:** (606) 633-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023