Organization
SUPPORTED CHOICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. WATERS CADC (EXECUTIVE DIRECTOR)
(502) 370-7229
Entity
Organization
Contact information
Practice address
627 GLASS PIKE, GEORGETOWN, KY 40324-8821
(502) 370-7229
Mailing address
627 GLASS PIKE, GEORGETOWN, KY 40324-8821
(502) 370-7229
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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