Organization
ANNVILLE-KY ADULT DAYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J JOHNSON (CREDENTIALING/BILLING MANAGER)
(606) 843-6195
Entity
Organization
Contact information
Practice address
78 HIGHWAY 3444, ANNVILLE, KY 40402-8245
(606) 346-5162
(606) 364-3920
Mailing address
78 HIGHWAY 3444, ANNVILLE, KY 40402-8245
(606) 346-5162
(606) 364-3920
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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