Organization
REACH FOR THE STARS CASE MANAGEMENT
Active
Parent organization
TRI-GENERATIONS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-GENERATIONS LLC
Authorized official
MRS. KAREN S GARDNER (EXECUTIVE DIRECTOR)
(270) 789-9216
Entity
Organization
Contact information
Practice address
103 TAMMIE TRL, CAMPBELLSVILLE, KY 42718-3310
(270) 789-9216
(270) 469-0914
Mailing address
103 TAMMIE TRL, CAMPBELLSVILLE, KY 42718-3310
(270) 789-9216
(270) 469-0914
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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