Organization
INDEPENDENT WORKERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAYO S RADDER VI CERTIFICATION (VISUALLY IMPAIRED TEACHER)
(502) 413-7962
Entity
Organization
Contact information
Practice address
144 ANGEL FALLS DR, LEXINGTON, KY 40511-8828
(502) 413-7962
Mailing address
144 ANGEL FALLS DR, LEXINGTON, KY 40511-8828
(502) 413-7962
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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