Organization
LAKE CUMBERLAND RECOVERY, INC
Active
Parent organization
LAKE CUMBERLAND RECOVERY, INC
Other names
Bluegrass Horizon
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CUMBERLAND RECOVERY, INC
Authorized official
MIKKLE HAMPTON (PRESIDENT)
(606) 516-9939
Entity
Organization
Contact information
Practice address
276 HORSESHOE DR, SOMERSET, KY 42501-6108
(606) 341-1160
Mailing address
PO BOX 305, BURNSIDE, KY 42519-0305
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
11/02/2022
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