Organization
SWIS PURCHASE, LLC
Active
Other names
Purchase Youth Village
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TREXLER (HUMAN RESOURCE DIRECTO)
(270) 252-7400
Entity
Organization
Contact information
Practice address
473 OLD SYMSONIA RD, BENTON, KY 42025-5044
(270) 252-7400
Mailing address
PO BOX 340, ELIZABETHTOWN, KY 42702-0340
(270) 252-7400
(270) 252-7419
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
02/20/2017
Last updated
10/13/2020
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