Organization
KENTUCKY SUPPORT COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NDAGIRO (OWNER)
(518) 704-9678
Entity
Organization
Contact information
Practice address
172 VISTA CT, SHEPHERDSVILLE, KY 40165-5615
(518) 704-9678
Mailing address
172 VISTA CT, SHEPHERDSVILLE, KY 40165-5615
(518) 704-9678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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