Organization
MOUNTAIN OUTREACH INC
Active
Other names
Mountain Outreach Adult Day-Pike
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MORRIS (DIRECTOR)
(606) 639-8801
Entity
Organization
Contact information
Practice address
11 MITCHELL ROAD, PIKEVILLE, KY 41501
(606) 639-8801
(606) 639-8779
Mailing address
PO BOX 271, NEON, KY 41840-0271
(606) 639-8801
(606) 639-8779
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750178
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538211453
—
KY
05
—
1699907972
—
KY
Enumeration date
04/13/2010
Last updated
04/13/2010
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