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Organization

ANNVILLE-KY ADULT DAYCARE, LLC

Active
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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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