Organization
A SILVER LINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETTA R FULTZ (OWNER/PROGRAM DIRECTOR)
(606) 594-6009
Entity
Organization
Contact information
Practice address
2051 LILY RD, LONDON, KY 40744-9411
(606) 280-4210
Mailing address
PO BOX 122, FALL ROCK, KY 40932-0122
(606) 594-6009
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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