Organization
DEPARTMENT FOR AGING AND INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH S ANDERSON (COMMISSIONER)
(502) 564-6930
Entity
Organization
Contact information
Practice address
275 EAST MAIN 3WF, FRANKFORT, KY 40621
(502) 564-6930
Mailing address
275 EAST MAIN STREET 3WF, FRANKFORT, KY 40621
(502) 564-6930
(502) 564-4595
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700087800
—
KY
Enumeration date
02/20/2007
Last updated
07/25/2008
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