Organization
LIFELINE RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RUBEENE MILLER (EXECUTIVE DIRECTOR)
(270) 227-1745
Entity
Organization
Contact information
Practice address
701 UPSHAW LANE, KEVIL, KY 42053
(270) 443-4743
(270) 477-0038
Mailing address
PO BOX 7652, PADUCAH, KY 42002-7652
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
02/13/2024
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