Organization
ISAIAH HOUSE, INC
Active
Organization
ISAIAH HOUSE, INC
Active
Other names
Jake Keurtz Center
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY A AYERS (BILLING MANAGER)
(859) 375-9200
Entity
Organization
Contact information
Practice address
100 BROADWAY ST STE 102, CHAPLIN, KY 40012-8087
(859) 375-9200
(859) 375-9202
Mailing address
PO BOX 188, WILLISBURG, KY 40078-0188
(859) 375-9200
(859) 375-9202
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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