Organization
VENTURE HOME AGAIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SHACKLEFORD (CHIEF OPERATIONG OFFICER)
(606) 789-5576
Entity
Organization
Contact information
Practice address
610 F M STAFFORD AVE, PAINTSVILLE, KY 41240-1230
(606) 789-5576
(606) 789-8612
Mailing address
610 F M STAFFORD AVE, PAINTSVILLE, KY 41240
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
KY
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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