Organization
TRI-COUNTY COMMUNITY ACTION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ANDERSON (EXECUTIVE DIRECTOR)
(502) 222-1349
Entity
Organization
Contact information
Practice address
1015 DISPATCHERS WAY, LA GRANGE, KY 40031-8733
(502) 222-1349
(502) 222-1349
Mailing address
1015 DISPATCHERS WAY, LA GRANGE, KY 40031-8733
(502) 222-1349
(502) 222-1349
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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