Organization
ISAIAH HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HUGHES (CREDENTIALING)
(859) 375-9200
Entity
Organization
Contact information
Practice address
2042 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
Mailing address
PO BOX 188, WILLISBURG, KY 40078-0188
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
800204
KY
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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