Organization
FIRST STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL RENEE GOFORTH BS (SERVICE PROVIDER)
(606) 669-1030
Entity
Organization
Contact information
Practice address
2828 HANNA PL, LEXINGTON, KY 40509-1496
(606) 669-1030
Mailing address
2828 HANNA PL, LEXINGTON, KY 40509-1496
(606) 669-1030
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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