Organization
T.A.C.K. FOR LIFE
Active
Organization
T.A.C.K. FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN C WEBB (OWNER)
(606) 205-2013
Entity
Organization
Contact information
Practice address
3041 KY RTE 7, WAYLAND, KY 41666
(606) 447-2493
Mailing address
PO BOX 183, 3041 KY RT 7, WAYLAND, KY 41666
(606) 447-2493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
KY
253Z00000X
In Home Supportive Care Agency
—
KY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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