Organization
MARTIN CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R. MARTIN (OWNER)
16063049174
Entity
Organization
Contact information
Practice address
1001 S KENTUCKY AVE, CORBIN, KY 40701-1847
(160) 630-4917
Mailing address
PO BOX 374, CORBIN, KY 40702-0374
(160) 630-4917
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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