Organization
MCCLURE COMMUNITY LIVING SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHELLA MCCLURE (EXECUTIVE DIRECTOR)
(270) 493-0780
Entity
Organization
Contact information
Practice address
3442 BREEZEEL SCHOOL RD, BENTON, KY 42025-5190
(270) 493-0780
(270) 252-9112
Mailing address
3442 BREEZEEL SCHOOL RD, BENTON, KY 42025-5190
(270) 493-0780
(270) 252-9112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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