Organization
BEHAVIOR SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JONES (CO-DIRECTOR)
(270) 759-9977
Entity
Organization
Contact information
Practice address
1103 NORTHWOOD DR, MURRAY, KY 42071-3590
(270) 759-9977
(270) 759-9972
Mailing address
PO BOX 680, MURRAY, KY 42071-0011
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
33000118
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000118
—
KY
Enumeration date
03/13/2007
Last updated
12/23/2019
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