Organization
APPALACHIAN COMMUNITY SUPPORTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE COCHRAN (EXECUTIVE DIRECTOR)
(606) 424-3683
Entity
Organization
Contact information
Practice address
52 WANDA LN, PIKEVILLE, KY 41501-8061
(606) 424-3683
Mailing address
52 WANDA LN, PIKEVILLE, KY 41501-8061
(606) 424-3683
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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