Organization
RES-CARE PREMIER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MANAGER PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
1220 W LAKE RD, CLIO, MI 48420-8881
(810) 686-1393
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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