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Organization

CHANGES REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BAKER (OWNER)
(270) 297-4519
Entity
Organization

Contact information

Practice address
2000 HOLIDAY LN, FULTON, KY 42041-8468
(270) 297-4519
(270) 208-1145
Mailing address
2000 HOLIDAY LN, FULTON, KY 42041-8468
(270) 297-4519
(270) 208-1145

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
11/10/2020
Last updated
12/29/2020
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