Organization
CHANGING LIVES TOGETHER RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN WEST (EXECUTIVE DIRECTOR)
(270) 799-1658
Entity
Organization
Contact information
Practice address
5376 LEONARD OAK RD, MORGANTOWN, KY 42261-7951
(270) 799-1658
(270) 799-1658
Mailing address
5376 LEONARD OAK RD, MORGANTOWN, KY 42261-7951
(270) 799-1658
(270) 799-1658
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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