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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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