Organization
CRC HEALTH TREATMENT CLINICS, LLC 3255
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CIERA SMITH (LPN)
(248) 513-5827
Entity
Organization
Contact information
Practice address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
(502) 647-0154
Mailing address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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