Organization
TRI-GENERATIONS LLC
Active
Organization
TRI-GENERATIONS LLC
Active
Other names
CENTRAL KY OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GARDNER (EXECUTIVE DIRECTOR CENTRAL KY)
(270) 469-1236
Entity
Organization
Contact information
Practice address
436 HOTCHKISS ST, CAMPBELLSVILLE, KY 42718-1340
(270) 469-1236
(270) 469-0914
Mailing address
436 HOTCHKISS ST, CAMPBELLSVILLE, KY 42718-1340
(270) 469-1236
(270) 469-0914
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100002670
—
KY
Enumeration date
05/07/2007
Last updated
02/24/2011
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