Organization
LIVING CLEAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BURTON (OWNER)
(606) 681-5558
Entity
Organization
Contact information
Practice address
214 BRIDGE ST, MANCHESTER, KY 40962-1204
(606) 681-5558
Mailing address
214 BRIDGE ST, MANCHESTER, KY 40962-1204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
02/04/2023
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