Organization
FOREVER CARE DBA INDEPENDENT OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE H. HARVEY (CHIEF OPPERATIONS OFFICER)
(606) 877-9209
Entity
Organization
Contact information
Practice address
400 S MAIN ST, SUITE 200, LONDON, KY 40741-1909
(606) 877-9209
(606) 877-1770
Mailing address
PO BOX 5067, LONDON, KY 40745-5067
(606) 877-9209
(606) 877-1770
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
KY
320800000X
Mental Illness Community Based Residential Treatment Facility
—
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33900788
—
KY
05
—
7100008760
—
KY
05
—
7100035380
—
KY
Enumeration date
12/28/2006
Last updated
12/09/2015
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