Organization
NDT CARE SERVICES, LLC
Active
Other names
Homeplace Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA BARROWMAN CLEVENGER (EXECUTIVE DIRECTOR)
(859) 936-2010
Entity
Organization
Contact information
Practice address
2647 REGENCY RD, #105, LEXINGTON, KY 40503-2959
(859) 936-2010
(859) 936-2099
Mailing address
PO BOX 24588, LEXINGTON, KY 40524-4588
(859) 936-2010
(859) 936-2099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000720
—
KY
05
—
7100156330
—
KY
05
—
7100216880
—
KY
Enumeration date
05/25/2016
Last updated
05/25/2016
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