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Organization

NATHANIEL HOUSE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWNE M. DEBOARD (EXECUTIVE DIRECTOR)
(859) 626-3502
Entity
Organization

Contact information

Practice address
137 PINE ST, RICHMOND, KY 40475-1941
(859) 626-3502
Mailing address
PO BOX 2078, RICHMOND, KY 40476-2078
(859) 626-3502
(859) 626-1620

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
33000324
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
33000324
KY

Other

Enumeration date
06/05/2007
Last updated
08/25/2016
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