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Organization

SOLACE CASE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER COUCH (PROGRAM MANAGER)
(606) 216-5080
Entity
Organization

Contact information

Practice address
130 MAIN ST, VICCO, KY 41773
(606) 476-9572
Mailing address
PO BOX 286, JEFF, KY 41751-0286
(606) 476-9572

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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