Organization
PURPOSE DRIVEN SUPPORT SERVICES
Active
Parent organization
PURPOSE DRIVEN SUPPORT SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PURPOSE DRIVEN SUPPORT SERVICES, LLC
Authorized official
SAMANTHA STUMBO (OWNER)
(606) 359-0700
Entity
Organization
Contact information
Practice address
9575 KY ROUTE 122, MCDOWELL, KY 41647-4164
(606) 359-0700
Mailing address
PO BOX 41, MC DOWELL, KY 41647-0041
(606) 949-1623
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
03/01/2023
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