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Organization

ROCKCASTLE COUNTY ADULT HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA CABLE RN (ADMINISTRATOR)
(606) 256-4316
Entity
Organization

Contact information

Practice address
1260 S. WILDERNESS ROAD, MOUNT VERNON, KY 40456
(606) 256-4316
(606) 256-1626
Mailing address
1260 S. WILDERNESS RD, MT. VERNON, KY 40456
(606) 256-4316
(606) 256-1626

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750080
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43001023
KY
Enumeration date
04/12/2007
Last updated
07/22/2015
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