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Organization

RES-CARE PREMIER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization

Contact information

Practice address
4781 N BRANCH RD, NORTH BRANCH, MI 48461-8627
(989) 791-7174
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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