Organization
KENTUCKY RIVER COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ADAMS (CFO)
(606) 666-4351
Entity
Organization
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28012011
—
KY
Enumeration date
11/19/2007
Last updated
09/19/2023
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