Organization
MOUNTAIN RIDGE COMMUNITY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAIL HAKKI CAMUR (OWNER)
(606) 435-2222
Entity
Organization
Contact information
Practice address
420 BAKER AVE APT 103, HAZARD, KY 41701-1871
(606) 435-2222
(606) 435-2226
Mailing address
420 BAKER AVE APT 103, HAZARD, KY 41701-1871
(606) 435-2222
(606) 435-2226
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KY
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/25/2016
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