Organization
THE LIFE CONNECTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN LEANN MILLER BA (BILLING SPECIALIST)
(270) 299-5516
Entity
Organization
Contact information
Practice address
81 BUDS LAKE RD, SONORA, KY 42776-9424
(270) 491-2121
Mailing address
PO BOX 269, SONORA, KY 42776-0269
(270) 491-2121
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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