Organization
A STEP IN TIME, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAY JUSTICE (OWNER)
(502) 867-8137
Entity
Organization
Contact information
Practice address
1016 LLOYD RD, GEORGETOWN, KY 40324-8881
(502) 867-8137
Mailing address
1016 LLOYD RD, GEORGETOWN, KY 40324-8881
(502) 867-8137
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33001538
—
KY
Enumeration date
03/16/2007
Last updated
06/16/2008
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