Organization
JOURNEY TO INDEPENDENT LIVING
Active
Other names
JIL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL BARKLEY HANCOCK II (OWNER)
(270) 932-3301
Entity
Organization
Contact information
Practice address
584 SKINHOUSE BRANCH RD, GREENSBURG, KY 42743-8750
(270) 299-6389
Mailing address
584 SKINHOUSE BRANCH RD, GREENSBURG, KY 42743-8750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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