Organization
EARLY FOUNDATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN NEWMAN (MEMBER)
(859) 300-3663
Entity
Organization
Contact information
Practice address
1890 STAR SHOOT PKWY STE 170-358, LEXINGTON, KY 40509-4567
(859) 300-3663
Mailing address
1890 STAR SHOOT PKWY STE 170-358, LEXINGTON, KY 40509-4567
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
133943
KY
Other
Enumeration date
09/01/2016
Last updated
01/31/2022
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