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Organization

AREA LIFE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET CLARK SPARE (EXECUTIVE DIRECTOR)
(606) 435-0140
Entity
Organization

Contact information

Practice address
257 COMBS RD, STE 2, HAZARD, KY 41701
(606) 436-2308
(606) 436-0069
Mailing address
PO BOX 1990, 257 COMBS RD STE 2, HAZARD, KY 41701
(606) 436-2308
(606) 436-0069

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33001512
KY
Enumeration date
03/06/2007
Last updated
07/29/2008
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