Organization
CLAY COMMUNITY FOUNDATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES Q MEREDITH (ADMINISTRATIVE MEMBER)
(606) 598-6340
Entity
Organization
Contact information
Practice address
109 CENTER ST, MANCHESTER, KY 40962-1253
(606) 596-0110
(606) 596-0111
Mailing address
109 CENTER ST, MANCHESTER, KY 40962-1253
(606) 596-0110
(606) 596-0111
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100329490
—
KY
Enumeration date
09/17/2013
Last updated
05/13/2015
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