Organization
COMMONWEALTH OF KENTUCKY
Active
Parent organization
COMMONWEALTH OF KENTUCKY
Other names
Oakwood Community Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF KENTUCKY
Authorized official
STEPHANIE CRAYCRAFT (DIRECTOR)
(502) 782-6243
Entity
Organization
Contact information
Practice address
2441 SOUTH HIGHWAY 27, SOMERSET, KY 42501
(606) 677-4068
(606) 677-4079
Mailing address
2441 SOUTH HIGHWAY 27, SOMERSET, KY 42501
(606) 677-4068
(606) 677-4079
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
100426
KY
333600000X
Pharmacy
PO5076
KY
3336L0003X
Long Term Care Pharmacy
Primary
PO5076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11914025
—
KY
05
—
54025580
—
KY
Enumeration date
07/12/2005
Last updated
02/19/2018
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