Organization
MORRLAND HEALTHCARE
Active
Other names
Intrust Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY D VAUGHT (CREDENTIALING SPECIALIST)
(606) 676-0638
Entity
Organization
Contact information
Practice address
401 BOGLE ST, SUITE 102, SOMERSET, KY 42503-3823
(960) 667-6063
(606) 676-0789
Mailing address
401 BOGLE ST, SUITE 102, SOMERSET, KY 42503-3823
(960) 667-6063
(606) 676-0789
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100282540
—
KY
Enumeration date
06/04/2014
Last updated
06/04/2014
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