Organization
AGELESS INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN HOWINGTON COTA (OWNER)
(606) 515-7741
Entity
Organization
Contact information
Practice address
137 DIXON DR, CORBIN, KY 40701-7407
(606) 515-7741
Mailing address
137 DIXON DR, CORBIN, KY 40701-7407
(606) 515-7741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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