Organization
SMALLTOWN OPPORTUNITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE SHIELDS BS (EXECUTIVE DIRECTOR)
(606) 216-4940
Entity
Organization
Contact information
Practice address
1087 UPPER SECOND CREEK RD, HAZARD, KY 41701-9527
(606) 216-4940
Mailing address
1087 UPPER SECOND CREEK RD, HAZARD, KY 41701-9527
(606) 216-4940
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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