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Organization

PEAK COMMUNITY SUPPORTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELWAND R POINTER BA (OFFICE MANAGER)
(502) 363-1700
Entity
Organization

Contact information

Practice address
410 S 1ST ST STE 101, LOUISVILLE, KY 40202-1416
(502) 363-1700
(502) 363-1705
Mailing address
410 S 1ST ST STE 101, LOUISVILLE, KY 40202-1416
(502) 363-1700
(502) 363-1705

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
KY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
KY
251E00000X
Home Health Agency
KY
251S00000X
Community/Behavioral Health Agency
KY
3245S0500X
Children's Substance Abuse Rehabilitation Facility
KY
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100029880
KY
Enumeration date
10/16/2007
Last updated
06/08/2015
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