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Organization

ROCK ARCH REFUGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD MARCUS NATIONS LCSW (EXECUTIVE DIRECTOR)
(859) 749-9180
Entity
Organization

Contact information

Practice address
141 SUNSHINE RD, ZOE, KY 41397-9739
(606) 464-9255
Mailing address
141 SUNSHINE RD, ZOE, KY 41397-9739
(606) 464-9255

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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