Organization
SOARING POTENTIALS LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN WHITAKER (EXECUTIVE DIRECTOR)
(606) 373-4908
Entity
Organization
Contact information
Practice address
3115 N MAIN ST, HAZARD, KY 41701-5902
(606) 373-4908
Mailing address
PO BOX 624, HAZARD, KY 41702-0624
(606) 373-4908
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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