Organization
LATITUDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL BADER (MEDICAID DIVISION DIRECTOR)
(859) 806-0195
Entity
Organization
Contact information
Practice address
167 SAUNIER ST, LEXINGTON, KY 40507-1251
(859) 806-0195
(859) 233-7927
Mailing address
167 SAUNIER ST, LEXINGTON, KY 40507-1251
(859) 806-0195
(859) 233-7927
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
KY
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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