Organization
GREEN RIVER AREA DOWN SYNDROME
Active
Organization
GREEN RIVER AREA DOWN SYNDROME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY THRASH (EXECUTIVE DIRECTOR)
(479) 223-1234
Entity
Organization
Contact information
Practice address
7155 MASONVILLE HABIT RD, PHILPOT, KY 42366-9116
(479) 223-1234
Mailing address
PO BOX 2031, OWENSBORO, KY 42302-2031
(270) 681-5313
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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